Customer Details Company DetailsBusiness NameAddress* Street Address City ZIP / Postal Code Landline Phone Number (if applicable)Contact DetailsName* First Last Mobile Number*Email* What is your preferred payment method?*Credit Card (recommended)Bank TransferChequePlease note: Credit cards will be auto debited on the due date for any future invoices. By choosing this option you accept that your account will be debited automatically.Website DetailsWhat best describes you?I have a current website and will be replacing that with a site built by GoLive ID and will be using the same domain name (website address).I do not have a current website but I have registered a domain name already.I do not have a website address or a domain name as yet and would like you to register this for me.Please type in your desired domain name for your new site: eg: www.mysite.com*To register any .au domain we require a valid ABN or ACN*Please type in your existing domain that will be used for you new site: eg: www.mysite.com*Do you have any existing email addresses at your chosen domain name?*YesNoPlease list all existing email addresses: Any existing email addresses to be deleted? Please list: What email address would you like us to set up for you? Please list: What is your back up email address? Incase your domain email addresses aren't functioning correctly (eg: an optus, or bigpond, or gmail , hotmail address, etc)Domain Management DetailsName of Registrar?The website you bought your domain throughTheir Web Address: Your Username:Your Password:Do you give GoLive ID permission to move your domain to our registrar for more effective management of your website?Yes (Highly recommended)No (I dont mind hiccups and delays)**Please note you will still be the registered owner of the domain, we will just be able to more easily access and change technical details for that domain name.Please note by choosing this option this may delay launching your website and incur additional charges. Charges include: Updating domain records, long "on hold" call times with certain domain providers, familiarisation with new console admin areas. Any additional time spent will be invoiced at our standard hourly development rate.By choosing this option you agree to additional charges that may be incurred.Social MediaDo you have any of the following social media accounts linked to your domain? Facebook Twitter Youtube Linkedin Instagram Google Plus Other Facebook (url) Twitter (url) Youtube (url) Linkedin (url) Instagram (url) Google Plus (url) Other Social Media account (url) If you have requested new social accounts to be registered then rest assured we are on to it.CommentsThis field is for validation purposes and should be left unchanged.