First - Last Name (Thai ):
First - Last Name (Eng) : 

Gender Male Female Age :

Company Name :

Address :

Telephone : Fax :

Your Email Address :

Domain Name Register : . com net org co.th Other

Servicee Type

Please Select Service Type Web 1 6 months x 800 Baht = 4,800 Baht Web 2 6 months x 1,200 Baht = 7,200 Baht Web 3 6 months x 2,500 Baht = 15,000 Baht Web 4 6 months x 3,500 Baht = 21,000 Baht Web 5 6 months x 5,500 Baht = 33,000 Baht Web 6 6 months x 8,000 Baht = 48,000 Baht

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