Hosting Service Order Form
 Name*
 Company Name*
 Company Reg. No.
 Address*
 City*
 State*
 PostCode*
 Country*
 Telephone*
 Fax
 E-mail Address*
 Domain Type New
Transfer existing domain from other server
 Domain Name*
 Package Option

Price excluding Domain Fee
 Payment Method
Cheque
(for Malaysian only)
Bank Transfer
(for Malaysian only)
 Remark
 
 

If you have chose the following payment method:

By  Cheque
Please issue cheque, make payable to Kelana Saga Sdn. Bhd. and send to the following address :-
Kelana Saga Sdn. Bhd.
Level 16, Suite 2 & 3, Wing A

Northan Tower, No. 57, Jalan Sultan Ahmad Shah

10050 Penang, Malaysia.

By Bank Transfer
You may direct bank in your payment to our RHB Bank account :-
A/c Name: Kelana Saga Sdn. Bhd.
A/c Number: 20705500013741
Please write down your domain name on the bank-in slip and fax to us at 604-3713526

For any assistance please contact: Phone: 604-3713525 HP: 012-4220525