Hosting Agreement

All clients purchasing hosting must fill in and submit the form below. Cicada Studio requires these details to contact you regarding future support issues and hosting renewal. Also to show that you have agreed to the Hosting terms.

Hosting Package:		- View Packages
Domain Name:	www.

First Name:
Last Name:

Address:
City:
Province:
Post Code:
Country:

Phone:
Fax:
E-mail Address:		(E-mail)
Alternative E-mail Address:
Tick box if you have read and will abide by the Hosting Terms:

Security Code: *		Type the characters you see in the picture below.