Domain Information |
Domain Name: |
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Registration Period |
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Is this domain a registered trademark? |
YesNo |
Registrant Information |
Registrant Number: |
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The admin contact of registrant id will be contacted to approve this request |
Registrant: |
Owner of |
Registrant Name: |
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Registrant Description |
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Legal Type: |
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Domain Name Security |
Existing OpenSRS profile: |
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New OpenSRS profile: |
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Admin Contact Information |
First Name: |
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Last Name: |
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Preferred Language: |
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Organization Name: |
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Email: |
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Technical Contact Information
Admin Contact is also the Technical Contact
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First Name: |
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Last Name: |
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Preferred Language: |
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Organization Name: |
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Street: |
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City: |
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Province: |
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Country: |
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Email: |
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DNS Information |
First DNS Hostname: |
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Second DNS Hostname: |
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Third DNS Hostname: |
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Fourth DNS Hostname: |
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Fifth DNS Hostname: |
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Sixth DNS Hostname: |
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Credit Card Information
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Card Type: |
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Card Number: |
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Expiration: |
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