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DOMAIN NAME REGISTRATION FORM

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(two) years.
- Name can not have more than 67 characters total  (63 characters + ".com, .net or .org").


- Organization / Administrative Information -

Domain Name: 
Organization Name: If none, type your name  
Contact Name (Last, First): 
Contact Phone: 
Contact Fax: If none, leave blank  
Contact Email: 
Repeat Email Address
Address: 
City: 
State: 
Postal / Zip Code: 
Country: 
Registration Fee: 
Special Instructions / Comments: 


INVALID APPLICATION WILL BE IGNORED

 
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