Webcity Australia - Domain Name Postal Order   (Click here to return to main site)

The easiest way to pay is use the online submission forms. Credit card details are accepted over a secure SSL connection and NOT stored online, but are processed in real-time while you wait. Cheque payments can also be arranged through the online form.

If you can't / don't want to pay online, then you can print out this form either fax or mail it to us.

Paying by credit card

If you wish to pay buy credit card, but don't want to enter details online, simply fill out this form and either fax it into us, or mail it to the address provided below.

Paying by cheque

To pay by cheque, you should use the online submission form. You will be given the option to select the payment method at the end, where you can select "Pay by cheque/money order". If you still prefer not to use online form, you can simply fill out the details below, and send with cheque/money order to the following address:

Order Details

Please provide a list of requested domain names below and indicate a duration
for each domain - ranging from one to ten years registration.  NOTE: YOU MUST
PROVIDE APPLICABLE ACN/ABN/BRN FOR COM.AU NAMES (not needed for others).

** Com.au names are limited to 2 years registration only.

      Requested Domain Names:     Duration (years):  ACN/ABN/RBN (for com.au):
  #1  _______________________________________  ____  _________________________
  #2  _______________________________________  ____  _________________________
  #3  _______________________________________  ____  _________________________
  #4  _______________________________________  ____  _________________________
  #5  _______________________________________  ____  _________________________
  #6  _______________________________________  ____  _________________________
  #7  _______________________________________  ____  _________________________
  #8  _______________________________________  ____  _________________________
  #9  _______________________________________  ____  _________________________
 #10  _______________________________________  ____  _________________________

                 TOTAL NUMBER OF DOMAIN YEARS: ____

Admin/Owner Details:
     First Name: _______________________________
      Last Name: _______________________________
   Organisation: _______________________________ (optional)
        Address: _______________________________
                 _______________________________
                 _______________________________
                 _______________________________
          Phone: _______________________________
            Fax: _______________________________ (optional)
  Email address: _______________________________

Payment method:  [ ] Cheque/Money Order
                 [ ] Visa (provide details)
                 [ ] Mastercard (provide details)

Credit card details (if applicable):
   First name of cardholder: ____________________________
    Last name of cardholder: ____________________________
         Credit card number: ____________________
           Card expiry date: ___/___
       Phone# of cardholder: ____________________
 Cardholder's Address (if different from above):
       __________________________________________________

Please make cheque/money orders made payable to WebCity Australia for an amount covering the number of domain years purchased. The required total is listed on our pricing page