Hosting Package Order Form (Canadian Dollars)

To activate any one of our hosting packages simply fill in the following form, click submit and you will be given the option of choosing your package and then paying by credit card in Canadian dollars via credit card using PayPal. (We also accept payment in Australian, US, Euros and Pounds. If paying by cheque please print this page before submitting. 

All hosting accounts will be activated within 24 hours of the form submission and receipt of payment at which time a Welcome email will be sent with your User Name and Password. You will then be able to start uploading your site immediately.

Be sure to read our User Agreement before filling in this form. 

Full Name:
* required field
Company:
Address:
* required field
City:
* required field
Province:
* required field
Postal Code:
* required field
Country:
* required field
Phone:
* required field
Fax:
Email Address:
* required field
Domain Name:
* required field
Existing domain Please register for me**
User Name: (Maximum 8 characters)
The user name MUST start with alpha characters and consist of alpha characters, numeric characters, the minus sign '-' or underline '_' ONLY.
Comments:

I have Read And Agree to the Surf22Hosting.com User Agreement. 
* required field

Note: If you are signing up with us for the sole purpose of sending bulk email (Spam) or setting up a Phishing site all accounts are heavily monitored and we will shut you down immediately as this is a breach of the above User agreement. We are a hosting company, not a Spam conduit.



All information is kept confidential and is used for internal purposes only as per our Privacy Statement.

** If you pre-pay 12 months the domain name is free. Otherwise if paying monthly or every 6 months we will invoice you separately at $21.95 CAD/year. 
If you already have a domain name and prepay 12 months we will add a credit of $21.95 CAD to your next invoice.