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Domain Name Registration Order - 123domain.eu

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<strong>Domain</strong> <strong>Name</strong> <strong>Registration</strong> <strong>Order</strong>– via fax to +49 (0)231 / 58 698-124 –Hereby I entrust <strong>123domain</strong> ® – ingenit GmbH & Co. KG to register the following domain names.<strong>Domain</strong> namesPlease list all desired domain names below and mark (cross) the top level domains in which you wish to register those names.Desired domain namesDesired top level domain nameswww.www.www.www. .de .de .de .de .com .com .com .com . . . . . . . . . . . .Register domain names for 2 years 4 years I already own the domain names listed aboveand wish to transfer them. I have informed thecurrent provider accordingly.DelegationIn this section please decide how the registered domain names should be handled. You can forward requests to the domain namesto an already existing website (web redirection), lease webspace with <strong>123domain</strong>.<strong>eu</strong> or park the domain names for later use (an<strong>eu</strong>tral parking page will be delivered to the visitor). Park domain names Redirect to website Lease webspace 10 MB 20 MB 50 MB MB Enter own nameserversEmail Forward emails to the address Lease a mailbox (included in webspace) I do not wish to receive any emails.Administrative contacthttp://1. NS <strong>Name</strong> IP2. NS <strong>Name</strong> IPPlease select whether you want to forward emails for the registered domains to an already existing mailbox, create a new mailboxwith <strong>123domain</strong>.<strong>eu</strong> or do not reveive any emails at all. You can however change your preferences anytime after the registration ofthe domain names.The administrative contact (admin-c) is the natural person designated by the domain owner that as his authorized person is entitledand obligated to bindingly decide all affairs concerning the domain name. same contact as with domain nameLastnameOrganisationStreetZIP / CityCountryFirstnameTelephoneTelefaxEmailingenit GmbH & Co. KG, Emil-Figge-Str. 76-80, D-44227 Dortmund, www.ingenit.com, Tel. +49 (0)231 58 698-123


<strong>Domain</strong> <strong>Name</strong> <strong>Registration</strong> <strong>Order</strong> – Page 2 of 2Invoice recipientThe following contact will receive all invoices on costs arising from the registration and lease of webspace, that means the name andaddress of this contact will be printed on all invoices we will sent.Customer No.(if known) address same as administrative contactLastnameOrganisationStreetZIP / CityCountryFirstnameTelephoneTelefaxEmailVAT-IDMethod of payment Invoice Direct debiting scheme Credit card VISA/Mastercard EurocardAccount holderAccount number<strong>Name</strong> of bankBank code numberCard ownerCard numberCard valid until/ 2 0SignatureI grant to <strong>123domain</strong> ® – ingenit GmbH & Co. KG the right to assign otherwise or delete the domain names until completepayment of the invoice amount.The domain name registration and maintenance is automatically extended by the period chosen above and under theconditions valid at that time if I do not cancel the registration at least two months ahead of the end of the currentregistration term and timely arrange for a provider change of deletion of the domain name.I will provide all documents necessary for the execution of a deletion.Location, DateSignature<strong>Order</strong>s can only be processed when properly signed.ingenit GmbH & Co. KG, Emil-Figge-Str. 76-80, D-44227 Dortmund, www.ingenit.com, Tel. +49 (0)231 58 698-123

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