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Domain Registration Section

Here we require the details of the lawful owner of the account, who has the official rights to the Domain name. This address is used exclusively for the registration at co.za NIC / INTERNIC. All enquiries, bills and the like will be directed to the contact address.  If you already have a registered domain you do not have fill out this section.

 Domain Name : 

Surname :

First Names :

Company Name :
Postal Address :
Postal Code : 
Country :
Phone :
Fax (if available) :
Cellphone (if available) :
e-mail (if available) :

Billing & Administration Section

Unless otherwise indicated this address will be used for invoicing and general enquiries.

 Domain Name : 

Surname :

First Names :

Company Name :
Postal Address :
Postal Code :
Country :
Phone :
Fax (if available) :
Cellphone (if available) :
e-mail (if available) :

Account Options

Payments : Monthly         Annually   (10% Discount on Monthly Fees)
Addition e-mail addresses :
FTP Access Required :
Web Page Design :
Site Maintenance :

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