domain name registration form

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DOMAIN NAME REGISTRATION FORM

Please click here to check domain availablity before submitting this form.

Domain Name To Register *

Registrant Contact

Contact Person Name *

Organization Name

Street Address *

Postal Code *

City *

State *

Country *

Phone no. *

Area Code	Number

Fax *

Email *

Administrative Contact

Same as Registrant
(If this box is checked other Administrative Contact fields can be left blank)

Name

Organization

Street Address

City

State

Country

Postal Code

Phone No

Fax No.

E-mail

Technical Contact

Same as Registrant
(If this box is checked other Technical Contact fields can be left blank)

Name

Organization

Street Address

City

State

Country

Postal Code

Phone No.

Fax No.

E-mail

Billing Contact

Same as Registrant
(If this box is checked other Billing Contact fields can be left blank)

Name

Organization

Street Address

City

State

Country

Postal Code

Phone No.

Fax No.

E-mail

Choose Payment Method

Cheque Credit Card Bank Transfer

* Fields are compulsory.

Terms & Conditions
*	Domain name registration India is usually completed within 24-48 hours of the receipt of payment. Once successfully registered, nobody can register your domain name, but it still takes 1-2 days for it to show up in the WHOIS database.
*	Internationally, Domain name registration is done on a First-come-first-serve basis. The domain requested may be registered by some other person / organization in between the period of request for domain registration and the receipt of payment.
*	Centaurhosting will not be responsible in any way for the non-availability of the domain name. The money you send will be refunded in case you do not want to register another Domain with us.

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Domain Registration Pricing
•	.com, .net, .org, .info, .biz, .us:INR 400 per yr. .co.in, .net.in, .org.in, firm.in , gen.in, ind.in: INR 400 per yr. .in: INR 700 per yr.
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