QCS Group Hosting Application Form
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1 QCS Group Hosting Application Form Customer Name : Head Office Unit 19, Musgrave Road Coopers Plains, QLD 4108 North Brisbane Office Shop 2, 107 Morayfield Road, Morayfield, QLD 4506 Tel: Fax:
2 Section A Name (In Full): Customer Details Company Name: ABN: Address Street Number and Name: City/Suburb: State: Postcode: Date of Birth: Driver s License/Medicare Number: Daytime Phone: Mobile: Evening Phone: Street Number and Name: Billing/Postal Address (if different from above) City/Suburb: State: Postcode: Domain Name: Domain Details New Domain Name Transfer Existing Domain Username: Registry Key: Domain Delegation Information (Existing Domains Only) Admin NIC Handle: Domain Name Password (Auth Info): Note: Username and Passwords are applicable to non.com.au domains only. Did you know QCS Group does other forms of hosting such as co-location where we host your server at our Data Centre for better security. QCS Group also does server maintenance and other Information Technology related work. QCS group also sells both computer hardware and software. Ask us about it!
3 Section B Website Hosting Package Bronze Silver Gold Web Site Storage 1000MB 2000MB 3000MB Mailboxes DNS Hosting Included Included Included PHP Support Yes Yes Yes FTP access Yes Yes Yes Public CGI Scripts Yes Yes Yes Private CGI-bin No Yes Yes Detailed Statistics Yes Yes Yes MySQL Database Yes Yes Yes Shared SSL Certificate No No Yes Monthly Traffic 1000MB 6000MB 15000MB Discounted Yearly Pricing $199 $299 $399 Monthly Pricing $19.80 $29.90 $39.90 Setup Fee $49.50 $49.50 $ Hosting (Only) Single Aliases Unlimited Unlimited Unlimited Unlimited Unlimited DNS Hosting Included Included Included Included Included Pricing $77.00/Year $13.75/Month $19.80/Month $43.75/Month $66.00/Month Setup Fee $49.50 $49.50 $49.50 $49.50 $49.50 DNS Hosting Service Type Yearly Cost Selection DNS Hosting (Only) $66 Domain Registration Domain Type Registration Period Biennial Cost Selection.com.au /.net.au 2 Years $88.com /.net /.org /.id.au 2 Years $77.org.au 2 Years $44 Application for QCS Group Hosting
4 All QCS Group Hosted solutions are virus and spam filtered. Address Details 1 - Enter the details for the address you wish to create Enter the details for the address you wish to create Enter the details for the address you wish to create. Please Nominate one of the above addresses as the Catchall address. This address will catch all s addressed to your domain. EG. If someone s johndoe and johndoe does not exist, this will be forwarded to your Catchall so that you won t miss any s. Catchall: NOTE: Additional addresses can be created via your cpanel account which we will provide access to. We are also able to create additional accounts for you if you wish. Standard labour rates apply for additional account setup. Please visit the following link for a list of our labour rates:
5 Hosted Exchange - Please note that Hosted Exchange will not work on Windows XP Hosted Exchange 10GB 25GB Monthly Pricing $14.95 per mail account $19.95 per mail account Please enter the number of accounts required. Selection Term Contract 12 Months Initial Setup Fee $154 All QCS Group Hosted solutions are virus and spam filtered. Address Details
6 Hosted Exchange Address Details continued
7 Address Details continued
8 Hosting Definitions Service Type PHP Monthly Traffic CGI FrontPage Server Extension MySQL SSL (Secure Sockets Layer) DNS Hosting Domain Registration cpanel Definition A widely-used web development scripting language that can be embedded into HTML. Means the amount of data that is either sent to or from the server on which the website is hosted. It will vary based on a number of factors, including, the popularity of the site, the services you provide with your website (e.g. video streaming) and frequency with which the site is updated. Allows you to create things like forms and counters on your web page. The Common Gateway Interface (CGI) is a standard for interfacing external applications with information servers, such as HTTP or Web servers. A plain HTML document that the Web daemon retrieves is static, which means it exists in a constant state: a text file that doesn't change. A CGI program, on the other hand, is executed in real-time, so that it can output dynamic information. Similar to CGI but the Microsoft version. Front Page has features built in that assume the existence of a web server that has the Front Page Extensions installed. It s possible to use Front Page to create web pages without the extensions enabled The world's most popular open source database, recognized for its speed and reliability. A security technology that is commonly used to secure server to browser transactions. This generally includes the securing of any information passed by a browser (such as a customer's credit card number or password) to a webserver (such as an online store). SSL protects data submitted over the Internet from being intercepted and viewed by unintended recipients DNS Records determines how a domain is found. DNS Hosting is the hosting of these records. Much like a car s number plate is registered, this is the same for domain names. Registering a domain is a mandatory part of hosting. It also prevents other people from using the registered domain. cpanel access is given to all our hosting customers. Control every aspect of your domain from accounts to DNS settings to FTP access all within one easy to use interface.
9 Domain Transfer Questions Domain Name How many domains are to be transferred? Who is the registrar of your domains? If transferring the domain to QCS Group: What are the Domain Auth codes? If with NetRegistry, what is your domain username and password? If Not transferring the domain to QCS Group: Do you have login details to the Registrar s portal so we can change the NS records? DNS Do you want to move your DNS servers to QCS Group? Who currently looks after your DNS? Is there portal access for QCS Group to record and edit DNS records? Web Hosting Do you have one hosting package for each domain name or do all your domains use one hosting package? Do you have FTP or cpanel access to your webhosting server? Technical questions: Are your sites PHP coded, WordPress or just HTML documents? Do you require a database for your domains? Are there any SSL certs that you require for credit card payments?
10 Section C Payment Options Visa Mastercard Amex EFT Cheque Card Number: Expiry Date: Name On Card: 4 Digit Security Code (AMEX Only): Card Holder s Signature: I wish to use the above card ( Card ) to pay for the above goods/services supplied to me by QCS Group ( the merchant ). I hereby authorise the Merchant to debit my Card Account with the amount and at the intervals specified above and in the event of any change in the charges for these goods/services to alter the amount from the appropriate date in accordance with such change. This authority shall stand, in respect of the above specified Card and in respect of any Card issued to me in renewal or replacement thereof, until I notify the Merchant in writing of its cancellation By signing this form below, you agree to the following terms and conditions: QCS Group Hosting Terms and Conditions You understand that: - QCS Group agrees to provide the selected services described in this agreement - QCS Group will endeavour to meet all client requirements regarding this service during the course of this contract. - You agree to purchase the selected product/s in this application form. - Minimum contract term of 12 months applies only for the Hosted Exchange solution. - Upon expiration of this contract, you will be given notification and an option to renew. - Early termination fee, calculated by the monthly access fee times the remaining contract term, applies for early termination of the service. - Support is available during business hours only (8:30am to 5pm, Monday to Friday, excluding public holidays). - Support is chargeable at normal business rates during business hours. All other hours are charged at after-hour rates. - Webmail access is provided. - Setup cost consists of mail setup on server only and does not cover setup on workstation. - Workstation configuration can be included and is charged at standard labour rates. - The Hosted Exchange - Initial Setup Fee covers setup of the Hosted Exchange with all s quoted in this form only. Additional requests after the initial setup will be charged at $10 per mailbox. - For hosted s included within the bundled plans, we will setup up to three addresses for you and will provide you with cpanel access so that you may create your own addresses. Standard labour rates apply for any accounts you wish for us to create for you exceeding the initial 3 s included with the setup. - QCS Group can NOT be held liable for any loss of data or revenue stemming from the use of these services. - Procedure manual for setup purposes will be provided. - QCS has a strict 7 days payment period unless other arrangements with QCS Group have been made. Barring and/or Termination of service will apply if payment is not made within the payment period. Confidentiality. - QCS Group and its agents or subcontractors shall not divulge confidential customer information associated with the service provided to any third-party without the customer s consent. However, QCS Group shall bear no responsibility for disclosure where such information or data is publicly available, is already in the possession of QCS Group, is known to them, or is obtained from a third-party. Intellectual Property. - QCS Group is the owner of the intellectual property that it uses in its provision of this service to you. Client agrees to, and will endeavour to preserve the rights of QCS Group in all matters of intellectual property from loss or theft and allow access to its facilities to ensure its removal. Signature: Name (Please print): Date: Position (Companies only):
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