Webvisions Virtual Server Order Form
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  • PLEASE NOTE: If you wish to order a BUSINESS EXPRESS PLAN, please use THIS ORDER FORM instead.
  • Please fill in the information about the owner of the domain even if you are reselling this server. This is required for proper registration of the domain name.

    Section 1
    Webvisions Virtual Server
    Order Form
    For Resellers/Partners Only:

    This Section is for Webvisions Resellers Only. Resellers, please fill this up if you require configuration letters to be sent to you directly.

    Yes, I am a Webvisions Reseller/Partner

    Reseller Organisation/Name:

    Reseller Email Address:

    Domain Name Details:
    This section is required.

    Domain Name: This order page is only for .my Domain Applications
  • www. .    

  • No. of Years : {S$50 per year. Minimum registration or renewal is for 1 years. Maximum registration or renewal is 2 years. If you enter "2", you will be charged 2 x S$50 = S$100}

  • Country Agreement (Proxy) Fee: {S$250 per year} (Please fax country proxy agreement to 65-67739389)


    • Administrative Contact (A person(s) representing the owner of the domain name.)


    Name :
    Company/Org Name:
    Organization Address:
    City :
    State:
    Postal Code:
    Phone:
    Fax:
    Email Address :
    Country:

    Technical Contact (A person(s) managing the technical aspect of the domain name.)


    Please Specify:

    NIC: (Leave blank if unknown)
    Name :
    Company/Org Name:
    Organization Address:
    City :
    State:
    Postal Code:
    Phone:
    Fax:
    Email Address :
    Country:


    Billing Contact (A person responsible for money matters related to the domain name.)


    Please Specify:

    NIC: (Leave blank if unknown)
    Name :
    Company/Org Name:
    Organization Address:
    City :
    State:
    Postal Code:
    Phone:
    Fax:
    Email Address :
    Country:


    Name Servers (Skip this section unless you wish to specify your own set of DNS servers.)

    Primary Name Server:             Primary Name Server IP:  
    Secondary Name Server:       Secondary Name Server IP:


    Virtual Server Details

    The server features and details on all these packages and options can be found at this page.

    Domain Options:
    .my Domain NEW Application- S$50/year
    .my Domain RENEWAL Application- S$50/year
    Others (for registration of ".sg" or ".my" domains only)

    Company Registration No :


    Other Instructions:

    Additional services, if any.

    Alternate arrangements have been made, as indicated by this case number (eg. 044-832)

    How did you hear about us ? (e.g. Straits Times Classifieds, Straits Times Comptimes, Business Times, Yellowpages, Yahoo, Referred by: Paul Allen, Newsgroup)

    Payment Details / Server Terms & Conditions Section 2
    Payment Method:      
    Please fill in and fax the Credit Card Authorisation Form to (65)-67739389 and we will process your .my domain registration.


    Server Policies
    Webvisions requires that each Virtual Server System User abide by the terms and conditions of the



    Yes, I understand that Webvisions will process this domain name application on my behalf. I
    • verify that the contents provided above, including payment details are accurate.
    • authorize Webvisions to process my payments if the domain registratiion is successful.

    Order processing takes between 1-3 business days. If successfully completed, your configuration information will be sent to you via E-mail.

    For Billing inquires, please check our Billing Page..

    Order Forms
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