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Web Hosting with Domain Register Application Form 網站寄存服務連域名申請表格

請用英文輸入以下資料 | Please use English to fill in the form

Domain Name 域名名稱 :
Web Hosting Plan 網站寄存計劃 :
Surname in English 姓氏 :
Given names in English 名字 :
Organization or Individual Apply 以個人或公司團體申請 :
Organization Name 公司名稱 :
Organization apply for (.hk / .com.hk) 公司團體申請 (.hk / .com.hk)	* Copy of Business Registration Certificate Required for .hk / .com.hk * 需提供商業登記證副本申請 .hk / .com.hk
BR No 商業登記號碼 :	First 8 Digit 首8個數字
Individual apply (.hk) 以個人名義申請	* Copy of Personal Identity Card Required for .hk / .com.hk * 需提供身份證副本申請 .hk / .com.hk
ID No. 身份證號碼	First 4 Digit 首4個數字
Address 地址:

District 區域:
Region 地區:
Country or Region 地區:
Phone No. 電話號碼 :	-
Fax No. 傳真號碼 :	-
Email Address 電郵地址 :
Payment Method 付款方式 :

	I have read and accept the Terms Of Use and Services Agreement, Registration Agreement, HKDNR Registration Agreement, Other provisions, Registrants' Benefits and Responsibilities, Registrant Educational Materials and HKIRC Published Policies.
	*By clicking on [我接受 / I Accept] below you are agreeing to the Service Agreement as above
	*在下面按一下 [我接受 / I Accept] 即表示您同意上述的服務條款。

Note : 備註

*如選擇 Plan D並以銀行入數方式結帳，客戶可以按月支付其網站寄存服務，域名申請/續期費則須於首次申請時全額支付。
*If selected Plan D and settle the bill by Cash/Bank, customer can settle their web hosting plan fee per month in advance, while the domain register/renewal fee need to settle 100% at the first time.