You may submit your order by filling out the form below or call us directly at (65) 6336-0041. You may also email us at salesteam@globzmedia.com.
Upon receiving your order form, you will get a return email that will provide you instructions to pay by any of the following payment options: Cash, Cheque or Credit Card(Paypal).

* = Required Information
1. Select Your Services 1
 
- Domain and/or GlobzHost Linux Web Hosting $12.99/mth Special!
  Domain Name

  Register / Renew for

  Select Webhosting Package
  Package Billing Cycle
 
Domain Name Total $
Webhosting Package Total $
One-Time Webhosting Setup (waived for limited period only!) $
Total $
 
2. Your Information
Full Name:*
Email:*
Contact Number:*
Office Number:
Fax Number:
Company:
Address:*
State:*
Country:
Postal Code:*
 
3. Billing Information.
Payment Method :* Credit Card via PayPal
Cheque
Cash (at office only)
 
4. Confirm Your Order.
Full Name:*
I have read and agree to the Terms and Conditions of Use
Enquiry / Questions:
How did you get to know about GlobzMedia:
 
Other:

Before submitting please make sure of the following

  • All necessary information has been correctly filled out.

For Fraud Prevention purposes, we have:

  • Recorded as your IP Address and the time of your submission