Sign Up - Chisel Solutions

If you require any assistance signing up, or have any questions - please call us on:

0423-535-535.

Home Sign Up

We are in the process of development an intergrated signup and payment gateway to streamline the order process and provide a central location for clients to manage invoices, support requests and enquiries made to Chisel Solutions regarding your account. In the meantime, please fill out this form to order hosting or domains from Chisel Solutions.

Once submitted, a representative from Chisel Solutions will be in contact with you to arrange payment, and once recieved, your account will be provisioned on our servers.

Your Name:
Address:
Phone Number:
E-Mail Address:

Requested Username:
Requested Password:

Choose a Domain Extension: (or leave blank if you do not want to purchase a domain)	.com domain - 1 yr registration - $25 .net domain - 1 yr registration - $25 .org domain - 1 yr registration - $25 .com domain - 2 yr registration - $45 .net domain - 2 yr registration - $45 .org domain - 2 yr registration - $45 .com.au domain - 2 yr registration - $60 .net.au domain - 2 yr registration - $60 .org.au domain - 2 yr registration - $30 .asn.au domain - 2 yr registration - $50 .id.au domain - 2 yr registration - $40
Domain Name: Type your requested domain name in this box

Hosting Package: (or leave blank if you do not want to purchase hosting)	US Starter Package 40Mb / 2 Gb - $5/month US Standard Pkg 100Mb / 5 Gb - $10/month US Standard+ Pkg 200Mb / 10 Gb - $20/month US E-Commerce Pkg 500Mb / 15 Gb - $30/month US Ultra Pkg 1000Mb / 30 Gb - $40/month AU Starter Pkj 40Mb / 1 Gb - $9/month AU Standard Pkg 100Mb / 2 Gb - $15/month AU Standard+ Pkg 200Mb / 10 Gb - $30/month AU E-Commerce Pkg 500Mb / 10 Gb - $40/month AU Ultra Pkg 1000Mb / 15 Gb - $50/month
How many months payment will you make: (or leave blank if you do not want to purchase hosting)	3 months 6 months 12 months
Payment Method:	Direct Deposit Credit Card ($2 surcharge, or 3% - whichever is greatest) Cheque PayPal

Additional Comments: