Aust Domains

Reseller Application Form

Domain Reseller Application Form

Complete the application form below to apply to become an acredited Aust Domains reseller partner.

Please provide details of who will be the primary contact.

First Name:	*
Last Name:	*
Position:	*
Address 1:	*
Address 2:
City:	*
Country:	*
State:	*
Postcode/Zip:	*
Phone Number:	+ . * (+ countrycode . areacode phone number)
Fax Number:	+ . (+countrycode . areacode phonenumber)
Mobile Number:
Email Address:	*
Business Name	*
Business Number:
Business Type

Approximately how many domain names have you registered, or expect to register over the following periods.

Last year:	*
Next year:	*

Please select reseller product options you will require.

Domain Names:	Yes
Hosting products:	Yes No
Website Builders:	Yes No
Secure Certificates:	Yes No

Please select billing currency you will require.

Currency:

Please enter your new reseller username and password.

Username:	*
Password:	*

In order to private label your store front reseller site, you need to create and delegate a domain name or sub domain name such as "domains.yourdomain.com" and point the "A" record to the IP address 203.170.87.147

Domain Name:

OR Create a FREE address at secureapi.com.au (Our Non branded label)

FREE Address:

http:// .secureapi.com.au

Please select reseller product options you will require.

Language Preference:
Join newsletter:	Yes No
How did you find us?
Additional Comments:

Please tick box

I have read and understand all said in the Standard Aust Domains
Policies & Agreements, and I agree to fully abide by all conditions,
rules and regulations described within.

Domain
Name Resellers

Reseller Pricing
upgrades

Frequently asked
questions

Domain Reseller
Application Form