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General Client Info |
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| Your full
legal name: |
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| Registrant Name: |
first last
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Specify the billing address in comments section
if it differs from the following |
| Company: |
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| Address: |
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| City |
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| Province/State, Postal/zip: |
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| State if
outside US/Canada |
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| Country: |
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| Preferred Email : |
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Must be a valid email address - used for normal correspondance
from us about your domain services. If you are registering a new
domain name, this will be used for renewals and other registry
correspondance and appear in the public WHOIS for the domain name
unless you request otherwise in the comments area below.
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Backup Contact info
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| Backup email address |
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Should be a current valid email address provided by your ISP
For our use only, this will NOT appear anywhere publicly.
We use this as emergency backup only for critical matters
in case we can't reach you at your preferred email address.
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phone:
ext
fax:
ext
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| Include country code (where applicable) and area code |
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| Plan,
Payment, and Discounts |
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