Domain Registration
 
For .NAME registrations, you can register either a domain name or a domain name plus email forwarding service package; for all the other TLDs, you can only register a domain name.
Registration Type Domain     Domain & Email Forwarding
Name to Register
Registration Period  year(s)
 
Email Forwarding Address for .NAME
Please discard this section if not a .name Email Forwarding.
Forwarding Email Address
 
Registrant Information
Registrant is the person or organization that will use the domain if successfully registered.
 
Contact Handle
or
First Name
Last Name
Organization Name
Street Address
City
State/Province
Postal Code
Country
Phone Number
Fax Number
E-mail
 
NEXUS™ Validation Data for .US domains
 
Please discard this section if not a .US domain.
 
If you are not a US citizen, nor a US permanent resident, nor a US corporation, please also select your nationality below:
 
You may submit a contact for the domain name record by entering a valid handle in the "contact handle" field. You may create a new contact for this domain by leaving the "contact handle" field blank and entering complete administrative contact, billing contact, or technical contact information below.
 
Administrative Contact Information
Contact Handle
or
First Name
Last Name
Organization Name
Street Address
City
State/Province
Postal Code
Country
Phone Number
Fax Number
E-mail
 
Technical Contact Information
Contact Handle
or
First Name
Last Name
Organization Name
Street Address
City
State/Province
Postal Code
Country
Phone Number
Fax Number
E-mail
 
Billing Contact Information
Contact Handle
or
First Name
Last Name
Organization Name
Street Address
City
State/Province
Postal Code
Country
Phone Number
Fax Number
E-mail
 
Name Servers
Primary
Secondary