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  Personal Email - Registration  
Application cum Agreement for Name Hosting Registration
Name Details
Your Name
E-mail @ Address
Web WWW
Domain Registration Type New
   
   
Plan/package
   
Name Hosting Plan
  Plan Setup fee Annual fee
50MB quota Waived $98.00
100MB quota Waived $178.00
150MB quota Waived $228.00
200MB quota Waived $288.00
       
       
Hosting option
Additional quota (blocks of 10MB) Setup fee
Waived
Annual fee
$18.00
   
Add quota x10MB
 
Total space.      MB
Total annual fee.   $
 
Account Information (Registrant)
Company name :
Company RCB No :
Customer Name :
Address 1 :
Address 2 :
Postal Code :
Telephone :
Mobile :
Fax :
E-mail Address :
   
Administrative Contact (leave blank if same as registrant information)
Company Name :
Contact Name :
Address 1 :
Address 2 :
Postal Code :
Telephone :
Mobile :
Fax :
E-mail Address :
   
Others
Additional Comments/
Instructions
   
Billing Contact (leave blank if same as account information)
Company Name :
Contact Person :
Address 1 :
Address 2 :
Postal Code :
Telephone :
Mobile :
Fax :
E-mail Address :
   
Registrant Agreement
I/We Have Read, Understood and Will Accept the terms of the above Registrant Agreement.
I/We Decline the terms of the above Registrant Agreement.
   
Note: The Registrant MUST accept the registrant agreement to complete the registration.
   
   


 

 

 

 

 

 
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