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Domain Name Registration

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Full Domain Name: *

Domain Type & Registrar: *

Int'l Domain - WebNIC.cc, SGD $25 per year
Int'l Domain - Network Solutions, SGD $50 per year
S'pore Domain - Adicio, SGD $78 per year

Domain Owner Information

Organization Name: *

Legal Contact Person: *

Street Address: *

City: *

State: *

Postal Code: *

Country: *

Phone: *

Fax:

E-mail: *

Special Instruction / Remarks:

Please provide your contact if you are not the Domain Owner.

* Indicates Required Field.

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Access Code: *
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