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WEB HOSTING SERVICES             DOMAIN NAME SERVICES              SEARCH ENGINE              CLASSIFIED
 
 
.BIZ - DOMAIN NAME REGISTRATION FORM - BUSINESS ONLY

NOTE:  A valid email address is required to receive your registration confirmation.
PLEASE CHECK TWICE YOUR EMAIL.  BE SURE ADDRESS IS CORRECT!
DOMAIN NAME REGISTRATION FEE IS NOT REFUNDABLE

DOMAIN REGISTRATION RULES:

- USE ONLY LETTERS, NUMBERS OR DASH.
- NAME CAN NOT BEGIN OR END WITH A DASH.
- STANDARD REGISTRATION PERIOD = 2 YEARS.
- NAME CAN NOT HAVE MORE THAN 67 CHARACTERS TOTAL  (63 CHARACTERS + .BIZ).
 
YOU MAY USE THIS FORM ONLY IF REGISTRANT, ADMINISTRATIVE AND BILLING CONTACTS ARE THE SAME.    IF NOT, PLEASE USE OUR LONG FORM
 
DOMAIN NAME: 
COMPANY OR PERSONAL E-MAIL: 
 
 REGISTRANT INFORMATION
 
REGISTRANT FULL NAME: 
ORGANIZATION NAME: 
COUNTRY: 
STATE / PROVINCE: 
CITY: 
ADDRESS: 
POSTAL / ZIP CODE: 
TELEPHONE (eg.+00.12127864536): 
FAX (eg.+00.12127864536): 
E-MAIL: 
 
REGISTRATION FEE: 
 
 PAYMENT INFORMATION
 
NAME ON CREDIT CARD: 
CARDHOLDER BILLING ADDRESS: 
CARDHOLDER CITY: 
CARDHOLDER STATE/PROVINCE: 
CARDHOLDER POSTAL CODE: 
CARDHOLDER COUNTRY: 
CARDHOLDER TELEPHONE:  (eg.+00.12127864536)  
TYPE OF CREDIT CARD: 
CREDIT CARD NUMBER: 
EXPIRATION DATE:         

INVALID APPLICATION WILL BE IGNORED
 
ANTI-SPAM POLICY         DISCLAIMER         PRIVACY POLICY         TERMS

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