Free Websites - Apply now

Step 1 - Contact Details
Your Name (required)
Organisation / Practice Name (If different from above)
Phone (required)
Email Address (required)
Postal Address
Physical Address (If different from above)

Step 2 - Domain Name

Please select one of the following four options:
I would like to purchase a domain name for my website
I already have a domain name that I would like to use
I do not wish to purchase a domain name

Step 3 - Website Size
Please select the website size that will best suit you. This can be upgraded at any time.
1 page website	($15.00 per month)
2-5 page website	($25.00 per month)
6-15 page website	($30.00 per month)
15+ page website	($35.00 per month)

Step 4 - Optional Extras
In-site Content Management Usage - First month FREE	($15.00 per month)
Image Galleries	($5.00 per month)
Internal Site Search	($5.00 per month)
Website Statistics - Only with own domain name	(FREE)

Step 5 - Other Details
Please specify any other information here

Your first 12 month total is: +GST
(This is a guide only, based on the options you selected, we'll advise total on confirmation)

YES, I have read and agree to the Terms & Conditions (required)

Leave this field empty please