| Enter your first name, middle initial (if used) &
last name | |
| Home address including Street, City, State
& Zip code | |
| * Business/Organization Name & complete
address | |
| Primary phone number & second contact # (cell,
work, home) | |
| Where do you prefer any "regular mail" correspondence
to be sent? | |
| The preferred e-mail address for us to contact you | |
| What is the User Name you use to login at Web Bound?
(not password) | |
| What option have you chosen? | |
| * If you are renewing an existing Domain Name what
is it? | |
| * What extensions (EXT) would be acceptable.
List in order of your preferred 1st and so on. The most common choices are com, net, org, biz | |
| * If you are purchasing a New Personal
Domain Name list 5 name variations (www.VARIATION.ext), minimum. List with preferred name 1st and so on | |
| * If you want an EXT other than the most common, please
list them here and we will contact you. Note: some other EXTs cost more, and require longer subscription times. | |
| * Which is most important to get first? the Domain
NAME, or the Domain EXT? Ex: if the Name is, then we search the name against all ext's you list. If the EXT is, then we search
the ext against all the names | |
| Comment Box. If you ran out of room anywhere
above, or have comments, enter here. If not enough room send a separate email info@webboundinc.com. Thanks for the order! | |
| Have you read the Terms, Conditions & Policies? | |
| Do you understand and agree that by submitting this
form, you understand & are agreeing to all of Web Bound,inc's Terms, Conditions & Policies ? | |
| |