Sign Up Form
Please take a moment to fill the form below
Name
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First Name
Last Name
E-mail Address
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Phone Number
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Type of Business
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Please Select
Small Business
Corporate
Non-Profit
Personal
Preferred Domain Name (1st Choice)
*
1st Choice (ex: www.xyzghana.com)
Please confirm your 1st preferred domain name
Preferred Domain Name (2nd Choice)
*
2nd Choice (incase, the 1st name is not available)
Please confirm your 2nd preferred domain name
Package
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Please Select
Flash Sales Promo
Standard Website
Standard Web Store
Package Price
*
Please Select
GH¢499.99
Package Price
*
Please Select
GH¢999.99
Package Price
*
Please Select
GH¢1,499.99
Payment Gateway
*
MTN Mob. Money
Tigo Cash
AIrtel Money
Bank Deposit
Tigo Cash Account Number.
Registered as BENSTEPHEN ASHIE
Airtel Money Account Number
Registered as BENSTEPHEN ASHIE
MTN Mobile Money Number
Registered as BENSTEPHEN ASHIE
GT Bank Account
Account Name: AC WEB DESIGN
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