Domain Name Registration - Order Form

A domain name can only be registered if it is available (i.e. has not been registered by somebody else). A CM Internet consultant will contact you to advise you if the domain name you are trying to register is unavailable.

	Australian Domain Names Please select from the available options below
	Domain name: www. Per 2 years   .com.au $99.00   .net.au $99.00   .org.au $89.00   .id.au $89.00   .asn.au $79.00

	International Domain Names Please select from the available options below
	Domain name: www. Per year   .com $49.00   .net $49.00   .org $49.00   .biz $49.00   .info $49.00

	CUSTOMER DETAILS
	First Name Last Name Company Address   Town/Suburb State WA NSW QLD VIC ACT SA NT TAS Postcode Please ensure you enter the area code for any phone numbers supplied. Home Phone Fax Work Phone Mobile Email

	PAYMENT Please select from the available payment options below
	- from your cheque or savings account and payable to CM Internet Cheque/Money Order - payable to CM Internet and post to CM Internet Direct Deposit - deposit your cash, cheque or money order at any Bankwest branch Credit Card - a 2.2% surcharge will be charged for all credit card payments.

	TERMS & CONDITIONS
	I declare that I have read, understood and agree to abide by CM Internet's Online Order Terms & Conditions. Click here for a printable version of the terms & conditions. You must have Adobe Reader 6 installed. To update or install Adobe Reader click here.