PREPARING FOR YOUR WEB HOSTING SERVICE

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Ascensa Communications Pty Ltd - ACN: 159 642 172 Page 1 of 6 Customer Authorisation (initials only): 

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 emailed to our service provisioning team at provisioning@ascensa.com.au.

2. An original copy of the application MUST be mailed to PO Box 648 Preston, VIC 3072

3. 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 emailed 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 email will be sent to your nominated email address to confirm acceptance of the service. AFTER SALES SUPPORT

DETAILS Telephone Support Business Hours

Phone: +61 3 9975 4040 Mon – Fri (9am to 5pm) Facsimile: +61 3 9975 4041 Mon – Fri (9am to 5pm)

DEPARTMENT Email 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

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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 emailed to your nominated email account between the 5th and 8thof each

month.

 Processing of payments will be fourteen (14) days from issued date or the following business day if the 14th 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

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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 Email:

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

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WEB HOSTING PRICING – (tick applicable)

Monthly

Hosting Service

Hosting Options Setup Fee Monthly Charge

Standard Hosting10 – No Database + 10 Emails per website1 $0.00 $22.00 Standard Hosting20 – No Database + 20 Emails per website $0.00 $33.00 Business Hosting – Unlimited Database + 50 Emails per website $0.00 $44.00 Corporate Hosting – Unlimited Database + Emails per website $0.00 $66.00 Dedicated Hosting – Unlimited Database + Emails + 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);

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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) $199.00

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

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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 www.ascensa.com.au:  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.