Office 365 Request Form

Your Details

Country or Region

Can't be changed after you sign up | The services that you can use | The taxes and billing currency for your country or region | The closest data center

First Name

Last Name

We'll use this to send you important account information. This email address is used for important service notifications; for example, billing reminders. The email address must be in the format someone@example.com

Address 1

Address 2

City

State Province

Postal Code

Phone

Organisation Name

Mobile Phone Number

Alternative Email Address

You can’t use your Office 365 User ID here

Domain Name/s

domain.com / domain.com.au

DNS Provider Details

Name

GoDaddy, NetRegistry, MelbourneIT

UserID

Password

Office 365

Username

admin@company.onmicrosoft.com

Password

Accounts

User Name

First Name

Last Name

Display Name

Job Title

Department

Office Number

Office Phone

Mobile Phone

Fax

Address

City

State or Province

ZIP or Postal Code

Country or Region

I understand the website membership terms and conditions.