Holistic Hosting

If you are purchasing new webspace for the first time this is where you place your order. You will need to upload your files to the server yourself, or have your website designer do it for you.

Please complete the order form below. We will set up your hosting space and contact you with your login information as soon as your order has been processed, and payment received.

If you already have a website, and want us to transfer it to our servers for you, click here for transfers.

Click here for full information on the details of the $180p/a plan's features.

Apply for Holistic Expansion Plan at $180.00 per year
New Webspace: You will be uploading your website to the holistic hosting servers and manage your account yourself, or a webdesigner will be doing it for you.

Your Full Name:
Business/Practice/Group/Studio Name: The name you trade under.
Your current email address: Please double check to make sure it is correct.
Telephone Number(s):	( ) Mobile:
Contact Address: Street, City, State & Postcode
What is it that you do? Modality / Music / Art / Healing / Therapy / Group / etc

Technical Questions
Have you registered a website address? (Domain Name)	tick for YES or no
if YES, what is your web address (Domain Name): You must have a domain name to host a website. If you do not own a domian name, we can register one for you.
EMAIL ACCOUNTS
Would you like us to set up your email accounts for you? (You can always set these up yourself if you're not sure from your control panel)	tick for YES
email #1
email #2
email #3
eMail #4
eMail #5
email #6
email #7
email #8
eMail #9
eMail #10
If you do not own a Website Address, what would you like your website address to be? We will see if if is available for you.

Payment
How will you be paying for your webspace?	Credit Card Cheque (Made payable to Holistic Hosting)
Any Additional Message?