Pinet Informatics "Internet For Everyone"

Nigeria's Frontline ISP

Please fill the form below to subscribe for HostDirect service.

Payment in Any branch of First Atlantic Bank plc branch Nation-wide is required for requesting HostDirect Services - List of Bank Branches
All Section of the form must be filled with accurate
information for faster processing
Setup Charge (Where applicable) is not refundable. Please ensure to enter appropriate information, particularly the Primary and Secondary Domain Name Servers (DNS)

Contact information:

      First Name 
       Last Name 
           Title 
    Organization 
  Street Address 
 Address (cont.) 
            City 
  State/Province 
 Zip/Postal Code 
         Country 
      Work Phone 
             FAX 
          E-mail

Bank Payment Details

Name on payment teller 	
Bank Name 		
Bank Branch address	
Bank Branch address 2            
Payment Date

Domain name for Hostdirect service

Please specify Domain Name according to preferences. 
Note that only one will be registered with this request and it is subjected to availability
Domain Name1		
Domain Name 2		
Domain Name 3

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