Hosting sign up form > Step 1 of 2

Note: Mandatory fields are in bold

About yourself

Firstname:

Lastname:

Email address:

(Important: e-mail is our only way to contact you)

Alternate email address:

(In case the first address fails)

Company name:

(If you're a company, enter the company name in this field *)

VAT registration number:

(If your company is VAT registered, enter your VAT registration number in this field *)

Address:

Postal code:

City:

Country *:

About your site(s)

Username:

(Can *NOT* be changed later. This will be your linux shell username. You will also be given the subdomain <username>.webfactional.com.)

Domain:

(Ex: "mydomain.com". You can change this domain or add more later. If you don't have a domain name yet just leave this field blank and you can use <username>.webfactional.com until you get a domain)

Software:

(Which app would you like to start with. You can change it or add other apps later)

If other:

(If you said 'Other' for the software field, please tell us here which software you need)

Promo code or referrer:

(If you have a promo code enter it here. If you were referred to us by someone enter their username here. Otherwise just leave the field blank.)

Plan / payment

Plan:

How will you pay ?

Payment period:

(We will refund 100% of your payment if you cancel for any reason in the first 60 days. No refunds will be issued past this period.)

Miscellaneous

Comments or special instructions

TOS and AUP

(Please check this box to confirm that you have read and agree with our Terms of service and Acceptable Use Policy)

* For all customers in the UK (including the Isle of Man) and customers in the EU without a VAT registration number, VAT will be added at the prevailing UK rate (currently 17.5%). Countries in the EU for VAT purposes are: Austria, Belgium, Bulgaria, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Monaco, Netherlands, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden

Hosting sign up form > Step 1 of 2

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