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*Note: This information will be kept strictly private, and will only be used to administrate your account. You will be able to update your profile at any time in the members area. You must supply a valid email address, as it will be used to confirm the account setup.

Please Enter Information to Create New User Account:

First Name: 

Last Name: 

Company/Organization:  
 
This will be the owner of the domains registered under your user account. (Enter your company name or personal name)
Address: 
City: 
State: 
Country: 
Zip/Postal Code: 
Tel:  (please include area code)
Fax:  (please include area code)
   
Username:  (Min 6 Characters, Case Sensitive)
Password:  (Min 8 Characters, Case Sensitive)
Re-Type Password: 
Email Address: 
 
MUST be a valid email address to complete account setup
  I agree to the Terms & Conditions of this service
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