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If you are a Web Designer you must complete
the application with the Owners name, tick the
appropriate "box" below and place your
details in the "further information" space:

Your full name:

Your email address: [e.g.:
Please no free mail accounts

Address 1:

Address 2:





Telephone No. (incl. country code):

Fax No. (Optional):

Domain to be hosted - Check box
Your own Domain
Webdesigner with authority

Domain Name Place it Here [e.g.]

Further information

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You will be contacted within 24 hours with setup instructions if accepted

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