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Domain Name Order Form

Fields marked with an * must be filled out. Other fields are optional. You will be sent an email to confirm your order.

We would like to donate £1.00 to Children in Need on your behalf for every Domain Name purchased from us. Please tick the Children in Need box to confirm that you want us to do this.

Registration Details

*Domain Name	www.
*Registered Domain Name Owner
Company Registration	(Only required if registered Domain Name owner is a limited company)

Extra Domain Names	Please type on seperate lines including the ending (.co.uk .com etc...)
Price Quoted (Inc VAT)
Contact Name
*Name for Invoice
*Full Address
Postcode / Zip
*Country
Telephone
Fax Number
*E-Mail
Children in Need
Preferred Payment Method
It is not essential to put your credit card details in to this box. You may simply write cheque in post, etc. In any case if the box is empty we will contact you to arrange a suitable method of payment or to advise you of our secure credit card payment methods.

Registered Domain Names Owners Details(Leave blank if same as above)

Name
Full Address
Postcode / Zip
Country:
Telephone:

Alternative Name Servers - If Required

Only enter these if you wish to specify your own Nameservers. We are including the use of our Nameservers free of charge with all Domain Names registered. If you wish to specify your own Nameservers then we will need 2 x nameservers that you are authorised to use. If you are attempting to use your own Nameservers and they are not for Free use or they are not set-up correctly then your domain will not work. Our Domain Nameservers have been audited with a 99.9% up time. This is accompanied by triple automated backup, to ensure the use of your Domain Name involves almost no down time.

Primary Name Server

Secondary Name Server

Choose a Password

Enter Password Again

How did you find out about us?

Magazine	Yellow Pages	Advert
Internet Search	Recommendation	Business Pages

If you wish to order a Domain Name you have to agree to the terms and conditions as detailed by the Top Level Registrar in each country. You cannot order a Domain Name from any company anywhere without agreeing to the relevant countries registrars terms and conditions. The International terms and conditions also apply to us as your registering agent. These rules can be viewed by clicking below.
By clicking on Submit Order you agree to the terms and conditions of Domain Name Registration based on the relevant countries terms and conditions and our own standard terms and conditions.

Terms & Conditions

Thank you for your order - an invoice will be despatched immediately and you will be contacted to arrange a suitable payment method.