DOMAIN NAME SEARCH AND REGISTRATION

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2. Fill in the name of the organization using the domain name.
NAME OF THE ORGANIZATION	PHONE NUMBER	FAX NUMBER

STREET ADDRESS	CITY	STATE	ZIP CODE	COUNTRY

3. Fill in contact information.
A D M I N I S T R A T I V E	T E C H N I C A L	B I L L I N G
NIC HANDLE:	NIC HANDLE:	NIC HANDLE:
OR, FILL IN THIS FORM	USE ADMIN CONTACT OR, FILL IN THIS FORM	USE TECH CONTACT OR, FILL IN THIS FORM




4. Select nameservers.
P R I M A R Y		S E C O N D A R Y
DOMAIN NAME		DOMAIN NAME
IP ADDRESS		IP ADDRESS