* First Name

* Last Name

* Email

* Company

* Your Title

* Address

* City

* State / Province

* Country

* Zip / Postal Code

* Home Telephone

* Work Telephone

* Domain Name

* Is this a transfer or a new domain registration?

New Domain
Transfer
 

Please choose the number of years you would like to register it for (.pk domains need to be registered for a minimum of 2 years).

Select One 1 Year 2 Years 3 Years 4 Years 5 Years 6 Years 7 Years 8 Years 9 Years 10 Years
 

* How did you hear about Karachi Plus?

Nothing Selected Search on Yahoo! Search on Excite Search on Lycos Search on Infoseek Other Search Engine @t Internet (Magazine) A friend/family member referred me A link from a website   Other:
 

* Hosting Account

Please choose a hosting account you would like to signup for

Win Lite
Win Budget
Win Standard

Linux Lite
Linux Budget
Linux Standard
 

* Billing Cycle:

Annually (12 months prepaid)
Bi-Annually (24 months prepaid)
 

Account Addons:

* Preferred Billing Method:

Select One ------------------------- Cash Check Money Order Bank Draft
 

Please type your full name AND email address in the box below. By doing so and submitting this form to Karachi Plus you are agreeing to the terms, conditions and Billing Policy of Karachi Plus. This is a binding document. By placing this order you are requesting service from Karachi Plus, and therefore do incur all fees associated with the provisions of said service. If you are ordering a UNIX-based account you will receive your account logins within 8 hours of hitting submit below. If you are ordering a NT-based account you should receive your account logins within 12-24 hours.

I AGREE (AND AM AUTHORIZED BY MY ORGANIZATION TO AGREE) to all items in the terms & conditions of use and Billing Policy:


This document will not be "signed" in the sense of a traditional paper document. To verify the contents of this form, the signatory must enter any combination of alpha/numeric characters that has been specifically adopted to serve the function of the signature, preceded and followed by the forward slash (/) symbol. Acceptable "signatures" could include: /john doe/; /jd/; and /123-4567/. For example: if your name is John Miller, you could type /John Miller/ below.

Signature: Date:

 

Additional Comments: