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Home | Application Form

APPLICATION
For a .TM Domain Name

 Encode International Domain Names
 Domain Details
2. ASCII Domain Name
2b. Check this box if you do not want us to publish the phone, fax and e-mail for the Administrative contact in a whois query ?
 
 Organisation/Individual Using Domain Name
3a. Organisation Name
3b. Street Address
3c. City/Town
3d. State/County/Region
3e. Postal/Zip Code
3f. Country
 Administrative Contact
If you enter the NIC Handle of an existing Administrative Contact, you do not need to fill in 4b. to 4n. below. If you do so it will be ignored.
4a. NIC Handle (if known)
If entered, you do not need to fill in the details below.		 NIC-
- OR -
4b. (I)ndividual (R)ole
4c. Name (Last, First)
4d. Organisation Name
4e. Street Address
4f. City/Town
4g. State/County/Region
4h. Postal/Zip Code
4i. Country
4j. Phone Number
4k. Fax Number
4l. E-Mail Address
To allow you to amend and update your entry in the system, a password is required for the Administrative Contact. If you have entered an existing Administrative Contact, the password for that will be automatically used.

Please enter a password of your choice (up to 18 characters), then again in the confirmation box.

4m. Password
4n. Password Confirmation
 Technical Contact
Leave this whole section blank if you want to use the details entered into the Administrative Contact above.
5a. NIC Handle (if known)
If entered, you do not need to fill in the details below.		 NIC-
- OR -
5b. (I)ndividual (R)ole
5c. Name (Last, First)
5d. Organisation Name
5e. Street Address
5f. City/Town
5g. State/County/Region
5h. Postal/Zip Code
5i. Country
5j. Phone Number
5k. Fax Number
5l. E-Mail Address
To allow you to amend and update your entry in the system, a password is required for the Technical Contact. If you have entered an existing Technical Contact, the password for that will be automatically used.

Please enter a password of your choice (up to 18 characters), then again in the confirmation box.

5m. Password
5n. Password Confirmation
 Billing Contact
Leave this whole section blank if you want to use the details entered into the Administrative Contact above.
6a. NIC Handle (if known)
If entered, you do not need to fill in the details below.		 NIC-
- OR -
6b. (I)ndividual (R)ole
6c. Name (Last, First)
6d. Organisation Name
6e. Street Address
6f. City/Town
6g. State/County/Region
6h. Postal/Zip Code
6i. Country
6j. Phone Number
6k. Fax Number
6l. E-Mail Address
To allow you to amend and update your entry in the system, a password is required for the Billing Contact. If you have entered an existing Billing Contact, the password for that will be automatically used.

Please enter a password of your choice (up to 18 characters), then again in the confirmation box.

6m. Password
6n. Password Confirmation
Forward From
You may select to change your Name Server Information or forward the domain to an existing web site.
Name Server Information
Host Name IP Address
     Primary Server
Secondary Server
Optional Server 1
Optional Server 2
Optional Server 3
Forward to an existing Web Site and E-Mail Address
Web Site
E-Mail ForwardingDo NOT forward e-mail for this domain
Forward mail fromDestination address
@your-domain.AC -->
@your-domain.AC -->
@your-domain.AC -->
@your-domain.AC -->
@your-domain.AC -->
@your-domain.AC -->
NOTE: to reduce the volume of spam experienced by our customers, e-mail sent to any name at your-domain.AC that is not specifically listed above will always be returned to the sender - we do not support "wildcard" mail forwarding
 Payment Details
9a. Price
For new registrations
(10 years)		 NON - EU residents US$1,000.00
or enter your EU company's VAT number (not UK):

EU residents and UK Companies
US$1000 + VAT @17.5%= US$1,150.00
9b. Card Type VISA Visa
MasterCard MasterCard
9c. Name on Card
This must be as displayed on the card.
9d. Card Number
(e.g. 4949 1234 5678 9012)
9e. Expiry Date (mm/yy)
9f. C.V.V.2 Code
(3-digit code located after the credit card number on the signature strip of Credit Card )		 Find your C.V.V.2 Code
(opens in new window)
9y. For Bank Tranfers
To pay funds directly to TM Domain Registry, to facilitate reconciliation please specify the REFERENCE DETAILS you will give to your bank:
TM Domain Registry, SWIFT: LOYDGB2L; Sort Code: 30-90-54; US$ Acct:11424211
IBAN: GB77 LOYD 3090 5411 424 211
Note: Payment MUST be received within 7 days from date of Application, otherwise the Application will be CANCELLED.
9z. Account Number
If you have a Registrar Account with us, please enter your account details:
 Legal

Before continuing, you are required to read our Terms and Conditions of registration (opens in new window).
I have read and understood the above Terms and Conditions and ACCEPT to be bound by them: (select to agree)
     
I DO NOT accept the above Terms and Conditions and wish to cancel my application: (select to cancel)


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