![Ace Internet Services Pty Ltd ACN 071 944 959 Locked Bag 4000, Bowral NSW 2576
Phone: 1300 360 979 Fax: 1300 651 609 sales@acenet.com.au www.acenet.com.au
Credit Card Details
Credit Card Number ___________________________________ Signature ___________________________________
Expiry Date ___________________________________ Date ___________________________________
Cardholder Name ___________________________________
Card Type Visa Master Bankcard
Direct Debit Request
Request and Authority to debit the account named below to pay Ace Internet Services Pty Ltd
Request and Surname or company name ________________________________________________________
Authority to
debit Given names or ACN/ARBN ___________________________________________________ (“you”)
request and authorise Ace Internet Services Pty Ltd to arrange for any amount Ace Internet Services
Pty Ltd may debit or charge you to be debited through the Bulk Electronic Clearing System from an
account held at the nancial institution identied below subject to the terms and conditions of the
Direct Debit Request Service Agreement [and any further instructions provided below].
Insert the name and Financial institution name __________________________________________________________
address of nancial
institution at which Address ________________________________________________________________________
account is held _______________________________________________________________________________
Insert details of Name of account _________________________________________________________________
account to be
debited BSB number |___|___|___| - |___|___|___|
Account number |___|___|___|___|___|___|___|___|___|
Acknowledgment By signing this Direct Debit Request you acknowledge having read and understood the terms and
conditions governing the debit arrangements between you and Ace Internet Services Pty Ltd as set
out in this Request and in your Direct Debit Request Service Agreement.
Payment Details The rst debit may be made on ____ / _____ / _____ and at monthly intervals after that.
Insert your Signature _______________________________________________________________________
signature and
address (If signing for a company, sign and print full name and capacity for signing eg. director)
Address ________________________________________________________________________
_______________________________________________________________________________
Date ____ / _____ / _____
When you complete this document you are accepting our trading terms and conditions, for details please refer to
http://www.acenet.com.au/accounts](https://image.slidesharecdn.com/hosting-application-form2922/85/Hosting-Application-Form-2-320.jpg)
Hosting Application Form
- 1. Ace Internet Services Pty Ltd ACN 071 944 959 Locked Bag 4000, Bowral NSW 2576 Phone: 1300 360 979 Fax: 1300 651 609 sales@acenet.com.au www.acenet.com.au Hosting Application Form PERSONAL DETAILS SERVICE DETAILS Business Name ___________________________________ DOMAIN NAMES ABN ___________________________________ Domain Registration (2 years) . . . . . . . . . . . . . . . . $199.00 Tick next to each domain name if it needs to be registered. Surname ___________________________________ If it’s an existing domain which is to be hosted, just write down the domain name. First Name(s) ___________________________________ ____________________________________________ Postal Address ___________________________________ ____________________________________________ ___________________________________ ____________________________________________ Home Phone ___________________________________ WEB HOSTING Business Phone ___________________________________ Setup Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $99.00 Domain Only Hosting (Quarter) . . . . . . . . . . . . . . $82.50 Mobile Phone ___________________________________ Domain Only Hosting (Annual) . . . . . . . . . . . . . $275.00 Facsimile ___________________________________ AceHost Basic (Quarter) . . . . . . . . . . . . . . **. . . . $115.50 ANNUAL . AceHost Basic (Annual) . . . . . . . . . months . . 12 . . . . . . for . . $385.00 Email Address ___________________________________ price of 10 AceHost Premium (Quarter). . . . . . . . . . . . . . . . $247.50 AceHost Premium (Annual) . . . . . . . . . . . . . . . . $825.00 SIGN HERE PLEASE AceHost Premium High Usage (Quarter) ** . . . . $577.50 ** Premium High Usage plan is only available quarterly. Signature ___________________________________ SENTRY SERVER PROTECTION Date ___________________________________ Setup Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $99.00 By signing, I conrm that I have read and Basic (Monthly) . . . . . . . . . . . . . . . . . . . . . . . . . . $66.00 agree to the terms and conditions. Business (Monthly) . . . . . . . . . . . . . . . . . . . . . . . $88.00 Corporate (Monthly) . . . . . . . . . . . . . . . . . . . . . . $132.00 Premium Domain Name Basic Premium High Usage Notes EMAIL Unlimited Mailboxes, forwards, - Y Y Y Mailboxes web-based email access WEB SITE Disk Storage (MB) - 500 1000 1000 Hard disk space. Data transfer (MB/Mth) - 250 1000 5000 Excess charged at 11 cents per MB * Detailed Web stats - Y Y Y Unlimited FTP updates - Y Y Y WEB EXTENSIONS CGI-BIN access - On application (security audited) cPanel Interface - Y Y Y Control over mail & web access SQL Database (MySQL) - - Y Y Front Page Extensions - Y Y Y E-COMMERCE SSL Secure server - - Y Y Payment Gateway - - POA POA * Charged monthly in arrears
- 2. Ace Internet Services Pty Ltd ACN 071 944 959 Locked Bag 4000, Bowral NSW 2576 Phone: 1300 360 979 Fax: 1300 651 609 sales@acenet.com.au www.acenet.com.au Credit Card Details Credit Card Number ___________________________________ Signature ___________________________________ Expiry Date ___________________________________ Date ___________________________________ Cardholder Name ___________________________________ Card Type Visa Master Bankcard Direct Debit Request Request and Authority to debit the account named below to pay Ace Internet Services Pty Ltd Request and Surname or company name ________________________________________________________ Authority to debit Given names or ACN/ARBN ___________________________________________________ (“you”) request and authorise Ace Internet Services Pty Ltd to arrange for any amount Ace Internet Services Pty Ltd may debit or charge you to be debited through the Bulk Electronic Clearing System from an account held at the nancial institution identied below subject to the terms and conditions of the Direct Debit Request Service Agreement [and any further instructions provided below]. Insert the name and Financial institution name __________________________________________________________ address of nancial institution at which Address ________________________________________________________________________ account is held _______________________________________________________________________________ Insert details of Name of account _________________________________________________________________ account to be debited BSB number |___|___|___| - |___|___|___| Account number |___|___|___|___|___|___|___|___|___| Acknowledgment By signing this Direct Debit Request you acknowledge having read and understood the terms and conditions governing the debit arrangements between you and Ace Internet Services Pty Ltd as set out in this Request and in your Direct Debit Request Service Agreement. Payment Details The rst debit may be made on ____ / _____ / _____ and at monthly intervals after that. Insert your Signature _______________________________________________________________________ signature and address (If signing for a company, sign and print full name and capacity for signing eg. director) Address ________________________________________________________________________ _______________________________________________________________________________ Date ____ / _____ / _____ When you complete this document you are accepting our trading terms and conditions, for details please refer to http://www.acenet.com.au/accounts