Domain Name (The name you wish to register)	.IE.NU
Person/Organisation to whom domain is to be registered to.
Person / Organisation
Contact Name
Owners Name
Address
Post Code
Country
Phone Number
Fax Number
E-mail
Where did you hear about us?
An Invoice for IR£45 plus VAT will be forwarded

Note: By submitting this application  for registration of a domain name, you are entering into a legally-binding contract on the basis of the terms and conditions of IE.NU Limited.  If you do not accept those conditions, then you should not submit the application.

Payment method Please select Visa Access Switch Delta Cheque by post Telephone with details Solo Card number Expiry date 01 02 03 04 05 06 07 08 09 10 11 12 01 02 03 04 05 Issue number (only applicable for Switch and Solo) --- 01 02 03 04 05 06 07 08 09

Note: By submitting this application  for registration of a domain name, you are entering into a legally-binding contract on the basis of the terms and conditions of IE.NU Limited.  If you do not accept those conditions, then you should not submit the application.

Special Notes on Basic Application Form

Any further modifications of the domain must be carried out using the e-mail template, either by you or your ISP. Acceptance of your name by IE.NU Ltd does not give you an e-mail or web address. We only reserve the name for use by you, you will need to use an ISP to make your name work as an e-mail / web address.

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info@nic.ie.nu