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Webfoot.Net
2030 Main St.
Dunedin, FL 34698
(727) 442-5770
Fax: (727) 442-3380
info@webfoot.net
Domain Name Registration
Request
Submission
Date_____________________
| Preferred Domain Name
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| Primary Choice |
http://www.
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| Secondary Choice |
http://www. |
| Organization
(Company) Information
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Billing Information
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| Organization
Name:
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Contact Name:
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| Street Address:
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Organization Name:
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| City, State, Zip:
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Mailing Address:
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| Country:
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City, State, Zip:
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Country: |
| Phone Number:
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Phone Number:
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| Fax Number:
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Fax Number:
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* E-mail Address:
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| Briefly Describe
the Organization:
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Webfoot.Net
Registration Submittal & Parking Fee and
2 Year
InterNIC Registration Fee: $50.00
(Please make check
payable to Webfoot.Net)
* Network Solutions
requires all registration contacts to have a current
e-mail address. If you do not, Webfoot.Net must act as
the Billing Contact for your domain.
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