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Domain Hosting Order Form (including transfers)
Domain names must consist of alpha characters, numeric characters, or the minus sign '-'. Other characters are not accepted. Domain Names are not case sensitive. Do not enter 'www' in front of the domain name.

A domain which ends with .com, .net, .org, .info, .cc .us, and .biz can be registered automatically. 

Domain registration for other countries will be done on our name server, but the client is responsible for contacting the NIC in the respective country to complete the registration for other countries.

Domain Name: www.

You must select one option below.  Choose New Domain below if you are registering the above .com, .net, .org, .info, .cc .us, and .biz domain for the first time.
New Domain Registration  (Choose this only if this is brand new .com, .net, .org, .info, .cc, .us, and .biz domain name and has not been registered yet.) 
I am transferring hosting of an existing domain (domain is already registered or is hosted someplace else or other country domains)
Don't register me (I will handle my Domain Registration)
 

Please ignore this section if you already have a domain name registered (you will not be charged for a new registration).
***The annual $35.00 domain registration is  For New Domain Registrations Only in .com, net, org, .cc and does not apply if you have already registered a domain name.  Please select Transfer or Don't register me (above) if you have a domain name already!
 All .info, .us, and .biz domains  must be registered for at least 2 years. ***

Please select the number of years you would like your new domain registered. The fee is $35.00 per year (hosting fees not included).



Choose a user login name. The user name must start with alpha characters and consist of alpha characters, numeric characters, the minus sign '-' or underline '_'. Alpha characters must be in lower case. The length of "User Name" should be no more than 8 characters.
User Name: Login name must be in lower case starting with an Alpha character and not  more than 8 characters.
Domain Package:
Contract Length:

Web Hosting Monthly Quarterly Semi Annual Annual
STARTER Plan US$5.95 US$17.85 US$34.63 US$65.54
ECONOMY Plan US$9.95 US$29.85 US$57.91 US$109.45
PROFESSIONAL Plan US$19.95 US$59.85 US$116.10 US$219.45
E-COMMERCE  Plan US$34.95 US$104.85 US$203.41 US$384.45
RESELLER  Plan US$39.95 US$119.85 US$232.50 US$439.45
* $99.00 setup fee for the E-Commerce plan applies.
Comments:
Owner Information
Name (first,last):
Company/Owner:
Address:
City, State, Zipcode:
Country:
State (if other than the United States or Canada):
Phone Number:
Fax: (Optional)
E-mail (double check):
You must enter an additional e-mail address below. This address should originate outside of our network, providing us with an alternative way to contact you via e-mail. If you do not have a second email address please use the one above. Logon and password information will be sent to both addresses.
Off Network E-mail:
InterNIC Contact Information
Please do not change this section unless you would like to fill in specific Contact information for the InterNIC registration.
Use the information above for the Administrative Contact information. (This section is best left "as is").
Exact credit card information must be used for orders to be processed.
Use the information above for the Billing Contact information.
Have us be your Technical Contact. (This section is best left "as is").
Payment Information
Payment Type: Credit Card
Pay by Credit Card only, please input your Credit Card information.
Card Type:
Name on Credit Card:
Card number:
Example:  412345678910123, not 4123-4567-8910-1234.
Expiration date: /

CVV2/CVC2/CID 

CVV2, CVC2 and CID were established by credit card companies to reduce fraud in Internet transactions. They are the 3 to 4-digit numbers printed on the back or front of a credit card which will verify that the card user has the card in hand. 


  You cannot place an order without this number! (see below)

Please click here if you need help with this site or have questions or special needs, We will be glad to answer your questions.

InternicDomainNames.com provides domain registration services for your InterNic domain names.
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