Formulario de Registro

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Domain

Domain Name *

Solicitor Data

Name of the Solicitor *

E-mail *

Solicitor Phone Number *

General Data

Organization Name *

Organization Address *

City *

Country *

Postal Code

Phone Number *

Fax

Trade name of the organization (or professional license of if you request professional domains type abo, ing and med or identity card if you request a personal domain type nom):

Administrative Contact Information

Full Name *

Organization Name *

Position *

City *

Country *

Postal Address

Office Phone Number *

Fax

E-mail *

Technical Contact Information

Full Name *

Organization Name *

Position *

City *

Country *

Postal Address

Office Phone Number *

Fax

E-mail *

Financial Contact Information

Full Name *

Organization Name *

Position *

City *

Country *

Postal Address

Office Phone Number *

Fax

E-mail *

Primary DNS IPv4

Primary DNS Hostname *

IP Address of the Server

Secondary DNS IPv4

First Secondary DNS Host

First secondary DNS Hostname *

IP Address

Second Secondary DNS Host

Second secondary DNS Hostname

IP Address

Third Secondary DNS Host

Third secondary DNS Hostname

IP Address

Primary DNS IPv6

DNS Hostname

IPv6 IP Address

Secondary DNS IPv6

Secondary DNS Hostname

IPv6 IP Address

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Formulario de Registro

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First Secondary DNS Host

Second Secondary DNS Host

Third Secondary DNS Host