PREPARING FOR YOUR WEB HOSTING SERVICE

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1 PREPARING FOR YOUR WEB HOSTING SERVICE PREPARING FOR SERVICE ACTIVATION 1. It is your responsibility to ensure that all correct and relevant information is provided to Ascensa Communications in order for the provisioning or migration of Web Hosting services. MAKING APPLCATION 1. All mandatory fields marked (*) needs to be completed on this form, scanned and ed to our service provisioning team at 2. An original copy of the application MUST be mailed to PO Box 648 Preston, VIC Two forms of identification are required when applying for any service with Ascensa Communications. a. A legible copy of your driver s license or passport (primary photo identification) is required. b. A secondary form of identification with the applicants full name matching that of the primary identification i.e. (Medicare card, Bank card or current utility or mobile bill). This can be scanned and ed directly to the service provisioning team at provisioning@ascensa.com.au. A service will not be accepted until this aspect of the application is completed. WHAT HAPPENS NEXT? 1. After your application has been received with proof of identification, we will perform a standard credit check to confirm your eligibility for an Ascomm Fibre Broadband service. 2. An will be sent to your nominated address to confirm acceptance of the service. AFTER SALES SUPPORT DETAILS Telephone Support Business Hours Phone: Mon Fri (9am to 5pm) Facsimile: Mon Fri (9am to 5pm) DEPARTMENT Support Business Hours Billing Enquiries: billing@ascensa.com.au Mon Fri (9am to 5pm) General Enquiries: enquiries@ascensa.com.au Mon Fri (9am to 5pm) Technical Support: support@ascensa.com.au Mon Fri (9am to 9pm), Sat (10am to 2pm) * General support is between 9:00am 5:00pm (Monday to Friday) * After hours support; contact your Account Manager between 5:00pm 9:00pm (Monday to Friday) * Weekend support; contact your Account Manager between 10:00am 2:00pm (Saturday) * Support excludes Sundays and Australian public holidays MAILING ADDRESS ASCENSA COMMUNICATIONS PTY LTD ABN: PO Box 648 Preston, Victoria 3072, Australia Ascensa Communications Pty Ltd - ACN: Customer Authorisation (initials only): Page 1 of 6

2 GENERAL INFORMATION All Ascensa Communication customers are billed monthly automatically and are required to complete a direct debit authorisation form for monthly direct debit processing. We currently do not accept BPAY, cheque, cash or direct EFT. Ascensa customer invoice will be issued and ed to your nominated account between the 5 th and 8 th of each month. Processing of payments will be fourteen (14) days from issued date or the following business day if the 14 th day falls on a weekend or public holiday. If payments have not been processed within fourteen (14) days of invoice being issued, please contact billing@ascensa.com.au. Incomplete application forms may result in delayed service provisioning. All pages must be initialled by the applicant. For further information, please contact the sales and support team at Ascensa Communications. All prices quoted by Ascensa Communications are inclusive GST (Goods and Services Tax). CUSTOMER INFORMATION (Mandatory) CUSTOMER DETAILS First Name* Family Name* Date of Birth* (DD / MM / YYYY) Business / Company Name (if applicable) ABN / ACN SERVICE ADDRESS (required for activation) Lot No.* Unit / Suite* Street No.* Street Name* Suburb / Town* State* Post Code* BILLING / POSTAL ADDRESS Tick if same as service address Lot No. Unit / Suite Street No. Street Name Suburb / Town State Post Code GENERAL CONTACT (required for activation) Day Time Phone Number* After Hours Phone Number* Mobile Number Primary Contact (required for electronic billing and correspondence)* Secondary Contact Ascensa Communications Pty Ltd - ACN: Customer Authorisation (initials only): Page 2 of 6

3 Domain To Host (tick applicable) For support purposes, please provide current provider name and contact details: Current Hosting Provider Details Hosting Provider Name: Hosting Provider Phone: Hosting Provider Domain to be hosted Details Please provide the domain you wish to host: Please provide domain manager access details for: Please provide the Registry Key for re-delegating your domain name: If more than one (1) domain is required to be hosted, please fill in the below: Domain Name Domain Manager Access Details Required Transfer Date (DD/MM/YYYY) Ascensa Communications Pty Ltd - ACN: Customer Authorisation (initials only): Page 3 of 6

4 WEB HOSTING PRICING (tick applicable) Monthly Hosting Service Hosting Options Setup Fee Monthly Charge Standard Hosting10 No Database s per website 1 $0.00 $22.00 Standard Hosting20 No Database s per website $0.00 $33.00 Business Hosting Unlimited Database s per website $0.00 $44.00 Corporate Hosting Unlimited Database + s per website $0.00 $66.00 Dedicated Hosting Unlimited Database + s + Website POA POA Please provide the number of web hosting services required: (if applicable) Web Hosting Nightly Backup Backup Option Setup Fee Monthly Charge Nightly Backup of content - per website $0.00 $22.00 Dedicated IP Address (If Required) If you think your site requires a Private SSL Certificate then you will also need a Dedicated IP. This will mean that your site is the only one on the internet using that unique IP number. A Dedicated IP is a necessity for most large websites or ecommerce enabled sites. If you website is business orientated and you are planning on a merchant account, Just Host would highly recommend that you purchase a Private SSL Certificate and a Dedicated IP Hosting Options Monthly Charge 1 x IP address allocation per SSL Certificate $11.00 Please provide the number of IP addresses required for SSL delegation: Important Note: All Hosting Services provided by Ascensa is backed by Service Level Agreements (SLA); Re-delegation can take up to seventy two (72) hours to fully propagate. DNS propagation refers to the updating of records by other ISP DNS servers to reflect the changes made by Ascensa when binding an IP address to a domain name. 1 Standard Hosting10 and Standard Hosting20 are HTML hosting only and do not support databases. Database feature is available for Business, Corporate and Enterprise Hosting packages. Ascensa Communications Pty Ltd - ACN: Customer Authorisation (initials only): Page 4 of 6

5 SSL Certificate (If Required) A Private SSL Secure Sockets Layer Certificate is recommended for all sites that accept credit card payments or take customers personal information, as it provides your site with the extra security required to protect such details. A Private SSL keeps all the information sent from your site to your host s server confidential by encrypting it and activating the secure lock in your web browser. Hosting Options Monthly Charge True BusinessID GEOTRUST (minimum 2 years) $ INCLUDED FEATURES OF HOSTING Pay as you go service (month to month, no lock in contract) Optional unlimited Web Space Optional unlimited Sub-domains Optional unlimited POP / IMAP Addresses Optional unlimited Databases (Corporate & Enterprise Only) 10GB web traffic transfer 1 x complimentary test account for every 3 x domain names hosted with Ascensa 24 x 7 system monitoring by Ascensa Local hosting for fast, reliable and secure information storage Self serve Portal via our INTERWORX hosting management system Standard weekly website backup Business Service Level Agreement (SLA) Ascensa Communications Pty Ltd - ACN: Customer Authorisation (initials only): Page 5 of 6

6 SPECIAL CONDITIONS (authorised approval required) PRINT NAME (AUTHORISED ASCENSA REP) SIGNATURE (AUTHORISED ASCENSA REP) DATE (DD / MM / YYYY) I AGREE TO I attest to, and understand that: The personal information I have provided is true and accurate; and I may be required to provide documents to substantiate my attestation; It is a criminal offence under the Crimes Act 1914 to deliberately make false or misleading statements. I am at least 18 years of age. Please tick (mandatory): I agree with and understand that by applying for an Ascomm Web Hosting service with Ascensa Communications, I will be bound to the Terms and Conditions set by the company. I hereby confirm that I have sighted the following information outlined at the company Terms and Conditions; and the company Policy and Procedure; and the company Service Level Agreement. I consent to proceed with my application for an Ascomm Web Hosting service and acknowledge that I fully understand my rights, legal and financial obligations in proceeding with the application. I have the authority to approve a service being connected at these premises. PRINT NAME (mandatory)* SIGNATURE (mandatory)* DATE (DD / MM / YYYY)* This application will form part of your contract when accepted by Ascensa Communications. Ascensa Communications Pty Ltd - ACN: Customer Authorisation (initials only): Page 6 of 6

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