Smartbox unpacked : Application
 
 
How to open an account

Please fill in our application request from below. When we've recieved your request we will send you a copy of your application request form as a PDF-file. We wil also send you a bill for the first periond of use. Your account will be setup within 2 working days after your payment is recieved. The account is based on a 6 months contract as specified in our Terms of service. You can choose between monthly payments or one payment every 6 months.


Name:
Naam business:
if applicable
Address:
Zip code:
if applicable
Country:
Phone:
E-mail:
required field
 
Domain name of choice (You can choose betrween .com / .net / .info / .name / .bizz / .nl)
First choice
Second choice
.an names need to be registered by client at the UNA
 
Default e-mail address of choice:
Design
Make a custom design (extra one time payment $230)
Use designes delevered with Smartbox package
Payments
Monthly payments via bank transaction
A payment in advance every 6 months
 
Starting date:


Terms of service
I have read and agree with the Terms of service of the Smartbox service
 

Smartbox is a product delivered by the company Green Media:

Green Media
Blenchiweg 29A
Curaçao, Netherlands Antilles

www.greenmedia.tv

Our general terms & conditions apply to this contract as placed on our Terms and Conditions page. Feel free to call or mail us for questions or comments (+5999 767-5511)

After you've submitted this form we will contact you to setup your account and tell you when your website is online (Your website is created within 5 business days).

© All rights reserved, 2010