Domain Renewal

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Company: *First Name: *Last Name: *Address:City:State:Zip:Country:Phone: *Fax:Email: *Domain Name: *Name of Registrar: *(Network Solutions, Register.com, Godaddy.com, etc.)Account Number/User Name:Password:

I don't know my password:Don't Know

Number of years you wish to register your domain for: *

Provisions:It is agreed that the Service Provider shall purchase the specified domain names for the Client Company. It is agreed that the Total Current Service Fees stated below must be received before the Service Provider purchases the stated domain. After receiving payment, the Service Provider agrees to purchase the domain and give the Client Company confirmation within 24-48 hours under normal technical conditions. Renewal registration is sole responsibility of the Client Company.

STATEMENT OF CONFIDENTIALITY

All data obtained by the Service Provider from the Client Company shall be held in the strictest confidence and shall not be made known to other persons, parties or businesses without written permission from the Client Company.

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