EmailMe Form - Pigeon Coop Hosting Application Form

Full Name *

First Last

Company/Organization *

Business Address *

City *

Province *

Code *

Short description or list of services

Your Personal Email Address *

Where you'll be receiving your invoices and renewal notifications.

Cellphone Number *

1 - EMAIL AND WEB HOSTING PACKAGES

Lite Plan:
• 5 Email Accounts + Domain & Control Panel.
• Own Website Upload.

R40 per month; OR

R384 yearly (Save 20%) - R32pm

You can always upgrade this Plan at a later stage.

Basic Plan:
15 Email Accounts + Domain & Control Panel.
• Own Website Upload.

R50 per month; OR

R480 yearly (Save 20%) - R40pm

You can always upgrade this Plan at a later stage.

2 - WEB DESIGN SERVICES

Please note: Web Design Services Start from R350 per Page

Do you have a website?

Yes, I have my own website, I just need hosting.

I wish to connect my Wix.com, WordPress Site.

No. Please design a website for me.

No Thanks, I don't want a website.

3 - DOMAIN REGISTRATION

Please choose one option *

New Domain Account

Transfer Existing Domain

Domain Level
(e.g. .co.za | .com | .org | .org.za | .net etc) *

Name of Domain
(e.g. www.BusinessName.co.za) *

First email address you would like:
(e.g. sales@BusinessName.co.za) *

More email addresses can be added when the setup is complete.

Cellphone Operating System *

iOS iPhone/iPad

Android System

Important Notice:

• Please be advised of the annual registration and renewal fees.
- R110-R130 per annum, for (.co.za, .net, etc)
- R350 per annum, for (.com, .org, .org.za)
- R50 reconnection fee if your account has been suspended for over 30 days.

Terms and conditions:
(a) FOR MONTHLY SUBSCRIBERS: Your cpanel may be deleted with immediate effect should you fail to make payment on 3 non-consecutive months.

(b) FOR ANNUAL SUBSCRIBERS: You are expected to make full payment of your annual subscription and registration renewal every 12 months. Failure to do so will result in your account/subscription being terminated effectively.

(c) Your domain will not be transferable if you have outstanding payments.

(d) The service provider reserves the right to refuse renewal of your domain or account.

Please tick box below to state that you understand the terms stated above: *

I accept/understand

How did you hear about us (optional)

You can contact us for more information, details:

Email: hosting@pigeoncoop.co.za
WhatsApp Chat +27645013741
Cellphone: +27746962773

You can also visit our website on:
https://www.pigeoncoop.co.za

Pigeon Coop Hosting is a division of 21 Ducks Media (Pty) Ltd.
All rights reserves.