Untitled Document

Type
Domain Name	.IE.NU

User Organisation
Contact Name
Name
Address


Post Code
Country
Phone Number
Fax Number
E-mail

Administrative same as Organisation
Technical same as Organisation
Billing same as Organisation

Administrative Contact
Handle (if known)
Name
Organisation Name
Address


Post Code
Country
Phone Number
Fax Number
E-mail

Technical same as Administrative Contact
Billing same as Administrative Contact

Technical Contact - (complete if not same as Admin.)
Handle (if known)
Name
Organisation Name
Address


Post Code
Country
Phone Number
Fax Number
E-mail

Billing same as Technical Contact

Billing Contact - (complete if not same as Admin. or Techical.)
Handle (if known)
Name
Organisation name
Address


Post Code
Country
Phone Number
Fax Number
E-mail

Server Details

Primary Server
Primary Server Hostname
Primary Server Netaddress

Secondary Server
Secondary Server Hostname
Secondary Server Netaddress

Secondary Server
Secondary Server Hostname	(optional)
Secondary Server Netaddress	(optional)
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 Limited. If you do not accept those conditions, then you should not submit the application.