Holistic Hosting

Renewing your Domain Name
and Website Hosting Space

Domain Name To Renew:
To renew your Domain Name and web hosting space please fill in the form below.

* Aussie Domain Name:	www. . (.org.au)	$88.00
or GLTD Domain	www. . (.org .net)	$45.00
Hosting Space:	Yes, renew my web hosting space.	$120.00
	No, renew my domain name only. **
Owner's Contact Details
* First Name:
* Last Name:
* Business/Trading Name:
* Email:
* Contact Phone:

Payment Information

How will you be paying for your domain name and/or webspace?

Credit Card
Cheque (Made payable to Holistic Hosting)
Direct Bank Deposit

Any Additional Message?

NOTES:

PAYMENTS must be made at least 48 hours before to your renewal date. If you do not wish to renew your domain name, please notify us or you may be charged the domain name renewal fee.

**If you have Website Hosting with us, you need to renew your website hosting or your website and email will no longer work.