A Division of CGS Infotech Ltd.  
  www.cgsinfotechltd.com  
PREMIER PARTNER OF
AN ISO 9001:2000 Certified Company

Domain Name Registration Form


The longer you register,
the more you save.

Term
Cost /Year
Savings
9
$ 15
57%
5
$ 19
45%
3
$ 25
28%
2
$ 30
14%
1
$ 35
-


Complete Domain Name


if you want to register more than 1 domain then please enter the domain names below, each one on a new line.

 
Period For Domain Registration
:
 year

Registrant Details

Organization Name
 :

Street Address

:

City

:

State

:

Postal Code

:

Country

:

Email
:
Administrative Contact Information.
Administrative Contact. NIC Handle (if known)
  OR, Provide Contact Information.


Administrative Contact

 
Name (Last, First) :
Organization Name :
Street Address :
City :
State :
Postal Code :
Country :
Phone Number
 :
Fax Number
 :
E-mail
 :

Technical Contact Information.
Technical Contact. NIC Handle (if known)
  OR, Provide Contact Information.


Technical Contact
 
Same As Administrative Contact.
 
Name (Last, First)
 :
Organization Name
 :
Street Address
 :
City
 :
State
 :
Postal Code
 :
Country
 :
Phone Number
 :
Fax Number
 :
E-mail
 :
Use Cyberweb's Name Servers

Primary Name Server(s)

Primary Server Hostname
 :
Primary Server IP Address
 :

Secondary Name Server(s)

Secondary Server Hostname
 :
Secondary Server IP Address
 :