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Domain Order Form

Please use the online form below to instruct us to register your domain(s). No fees or commissions are added to the charges of UKreg.com, our suggested domain registrar.
Help on choosing the right domain can be found here and a facility to check whether it is available can be found here.

Your details for registration purposes

Please note this information will secure your ownership of your domain(s) and may be viewable by the public. All fields must be filled out.

First & Last Name: (Company representative or your name)
Company Name: (Could be your name)
Address Line 1: (House number and street)
Address Line 2:
Address Line 3:
County: (e.g. Greater London, Hertfordshire)
City: (e.g. London, Oxford)
Post Code: (e.g. UK)
Phone: (with area code)
Email Address: (The email address added above may be seen by the public. You may choose to register a new hotmail account, especially for this purpose)
How did you hear about us? i.e. search engine (which one), link, advert, recommendation from.

.co.uk (UK) domains cost £6.93 for a 2 year period (minimum)
.net & .com domains cost £11.75 per year for up to 10 years

Please list below the domain names you wish us to register (Only letters, numbers and hyphens (-) are allowed). Please include the number of years for .net and .com domains only, all UK domains are for a minimum 2 years.

Only the registrar authorities for UK domains provide an ownership certificate by post.

Domain Name:	for Please Select 1 2 3 4 5 6 7 8 9 10 years
Please forward emails to this email address:
Please point domain to this web site: www.
Domain Name:	for Please Select 1 2 3 4 5 6 7 8 9 10 years
Please forward emails to this email address:
Please point domain to this web site: www.
Domain Name:	for Please Select 1 2 3 4 5 6 7 8 9 10 years
Please forward emails to this email address:
Please point domain to this web site: www.
Domain Name:	for Please Select 1 2 3 4 5 6 7 8 9 10 years
Please forward emails to this email address:
Please point domain to this web site: www.
Domain Name:	for Please Select 1 2 3 4 5 6 7 8 9 10 years
Please forward emails to this email address:
Please point domain to this web site: www.
Domain Name:	for Please Select 1 2 3 4 5 6 7 8 9 10 years
Please forward emails to this email address:
Please point domain to this web site: www.

Holding Page (If applicable):

If we are preparing to develop your website, please type below any information you wish to show on your temporary holding page.

Please Highlight Other Services You May Need In The Future

New web site design Web site redesign Custom graphics Banner design Database programming Other

Web site maintenance Custom logo design Ad copy writing Custom Meta tags Search Engine Submission

Other

Do you have any questions or comments that are not addressed in this form?

Please send me free occasional e-mail announcements about new services or special offers. (Your contact information will NOT be released to any third party.)

Contact Details

Address:
P.O. Box 27667,
Enfield,
London N9 8SB
England

Telephone:
0845 345 2572
020 8123 5378

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