Spark Business Hub Registration and Order Form

Section

Spark Business Hub - Registration and Order Form

Customer Name *

Business Name *

Customer email address *

Spark Account Number *

Phone prefix

Contact phone number

DOMAIN NAME (E.G. MYDOMAIN.CO.NZ)

Domain Name Requirement *

New Domain Name

Transfer Domain Name

Domain Name

Authentication key (UDAI, EPP, Password or ID)

Business Mail

If more than 4 mailboxes are required, please detail in comments field at the bottom of this form.

Web Hosting

Plan Type

Server type

Domain name (to be associated with the web hosting plan)

MAILBOX 1

First Name (MBX1)

Last Name (MBX1)

Email Address (MBX1)

Aliases (MBX1)

Type of Mailbox (MBX1)

MAILBOX 2

First Name (MBX2)

Last Name (MBX2)

Email Address (MBX2)

Aliases (MBX2)

MAILBOX 3

First Name (MBX3)

Last Name (MBX3)

Email Address (MBX3)

Aliases (MBX3)

Type of Mailbox (MBX3)

MAILBOX 4

First Name (MBX4)

Last Name (MBX4)

Email Address (MBX4)

Aliases (MBX4)

Type of Mailbox (MBX4)

Agent details

Agent Name *

Agent Email *

Agent T Number *

Dealer Code *

Phone Prefix

Dealer Contact Number

Agent Comments