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  ITCENTRE ORDER FORM/CONTRACT FOR THE PROFESSIONAL PACKAGE

Terms and Conditions

Check that the domain name is not taken Domain name

CREDIT CARD PAYMENT CAN BE MADE BY TELEPHONE 01494 440095 CLIFTON LODGE HOTEL ITCENTRE This is for the yearly amount only of £225.48 The Account will be set up when the payment is received

PAYMENT BY CHEQUE

CHEQUES CAN BE SENT TO US FOR THE PACKAGE. THE CHEQUE MUST BE FOR THE TOTAL YEAR ie £225.48 tick the box BELOW and send your cheque to us. Payable to “Clifton Lodge Hotel (itcentre)” The Account will be set up when the cheque is received.

Clifton Lodge Hotel (itcentre)

210 West Wycombe Road

High Wycombe, Bucks, HP12 3AR 

UK

PLEASE FILL IN THE FORM BELOW AND SUBMIT IT TO US

New Domain Name www.yourdomainname.co.uk. For us to register
Alternative Domain Name www.yourdomainname.org.uk
Do you have a Domain Name already registered you want to use as well?
The Domain Name you have
Can you change the Nameservers?
Do you want to change the domain to us?
Payment Card Number
Mastercard
Barclaycard
3 Digit Security Card Number
Maestro/Solo
Maestro/Solo Issue Number
Please deduct my card by £18.79 per Month
Please deduct my card one years hosting £225.48
I wish to telephone you with my credit card number and pay Yearly
I wish to pay by Cheque Yearly £225.48
Name of Card Holder
First name
Last name
Address
Zip
City
County
State
Country
Phone
Email
Email Confirm
Comment

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