RAM Designs, L.L.C. - Website Design and Database Development : domain name registration

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Domain Name Registration

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Use the following form to register a domain name. Please fill in all information as completely as possible.

Check the availability of domain names here.

First Name: *
Last Name: *
Business:
Address1: *
Address2:
City: *
State:
Province/Region:	(if not in US)
Postal Code: *
Country:
Phone: *
Fax:
Email: *
I would like	1 year domain name registration ($15.00) 2 year domain name registration ($30.00)
Domain Name: *
	Use the RAM Designs Name Servers, or Use the following Name Servers: (At least 2 are required)
Name Server 1: I.P. Address:
Name Server 2: I.P. Address:
Name Server 3: I.P. Address:
Name Server 4: I.P. Address:
	Check this box if you have read and agree to the Warranty and Cancellation Policies.