Komena.Com

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Web Application

Web Details

You can either fill in the application on line or download the PDF version below.

Click here to download PDF Version

Please note that the prices listed are "Exclusive of Vat".

Date*:

Company Name:

First Name*:

Surname*:

ID Number*:

Cellular*:

Telephone*:

Fax:

Email Address*:

Web Address:

Physical Address:

Postal Address:

Package Options*:
Basic Web @ R1200-00 (1 Page, 1 Email, 12 Months Hosting, Basic Design, Setup, Registration)
Mini Web @ R2400-00 (5 Page, 5 Email, 12 Months Hosting, Basic Design, Setup, Registration)
Midi Web @ R4500-00 (8 Page, 8 Email, 12 Months Hosting, Basic Design, Setup, Registration)
Maxi Web @ R5750-00 (12 Page, 12 Email, 12 Months Hosting, Basic Design, Setup, Registration)
Corporate Web @ R6350-00 (20 Page, 20 Email, 12 Months Hosting, Basic Design, Setup, Registration)

Domain Name ie www.yourname.co.za*:

Enter the letters showed into the following image*:

Terms and Conditions:

I accept the above info and the standard terms and conditions list.

I agree I do not agree