FLANDERS WEBHOST - Internet Hosting Solutions

ORDER & INFORMATION FORM

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First Name :

Last Name :

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Please give us a phone number where we can reach you :

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E-mail account :

Please select the formula you want :

If you order an URL-redrection account please enter the destination URL.

Domainname

You can order a new domainname using our online registrtation form at :
http://www.webhost.be/registreer_e.html , English version
http://www.webhost.be/registreer_n.html , Nederlandse versie

Payment method Bank transfert
Credit card (Visa or Eurocard (Mastercard) only)

Invoice Yes by postal mail
No, EMAIL only

Before processing your order, our sales service will send you a mail asking to confirm the information you entered are correct.
If you have questions or special requests, please enter them in the box below.

We will reply to your message BEFORE processing your order.

Ik aanvaard de algemene voorwaarden. I accept the general conditions.

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