Lounge Network

If you are a Web Hosting or Web Design client, and some of your contact details have changed recently, please complete the following form below. Please also fill this in if you have sold your company or website to another party, and they are wanting to continue to use our services. Filling in this form will allow us to update your details in our client database. It is very important and is a mandatory requirement, that you do keep us informed of your current contact details, especially any email address changes. If you also need to update your Domain Names contact details, please read the information in the box below.

Update Your Contact Details for all Hosting Accounts below...

Please only fill in the fields that you would like us to change the details of.

Hosting Account Details:
Your Name:	Mandatory
Your E-mail Address:	Mandatory
Your Websites Domain Name:	Mandatory
Your Account Username:	Mandatory

Company Details:
Old Company Name who currently has the account with us:	Only if Applicable
New Company Name:	Only if Applicable

Account Owner Details:
Old Account Owners Full Name who currently has the account with us:	We require a contact name for all hosting accounts.
Old Account Owners Date of Birth:	DD-MM-YY. Your date of birth is required for security purposes, should we need to authenticate your identity.
New Account Owners Full Name:	We require a contact name for all hosting accounts.
New Account Owners Date of Birth:	DD-MM-YY. Your date of birth is required for security purposes, should we need to authenticate your identity.

Email Details:
Account Owners Old E-mail Address:
Account Owners New E-mail Address:
	Please re-enter email
Account Owners Secondary Email Address:	Please enter a secondary email address. This is incase your primary email address fails to work for any reason.

Physical Address Details:
Please enter your Old Physical Address: (use the following format)
Street Number & Street Name, Suburb, Town / City
Please enter your New Physical Address: (use the following format)
Street Number & Street Name, Suburb, Town / City

Billing Address Details:
Please enter your Old Billing Address, if not the same as above: (use the following format)
Street Number & Street Name, or P.O. Box Number Suburb, Town / City
Please enter your New Billing Address, if not the same as above: (use the following format)
Street Number & Street Name, or P.O. Box Number Suburb, Town / City

Phone Details:
Your Old Phone Number:	eg. (04) 9458236
Your New Phone Number:	eg. (04) 9458236

Fax Details:
Your Old Fax Number:	eg. (04) 9458236
Your New Fax Number:	eg. (04) 9458236

Additional Information:

Terms of Service
If you are changing account ownership, then the new owner must also agree to our terms of service, which can be viewed by clicking here. Existing clients should also agree to this, as it is a continuation to our existing terms of service.
	Tick if you to agree to our terms of service

For security purposes, please also enter the 4 digit security number displayed in the image above, into the box below.

Depending on the nature of the changes you have made above, we may require that you post us further information in order for us to check the authenticity of the supplied information. We will contact you if this is required.