Account Order Form

YES! I want to try a month for free one account. Also I know your policies and accept them integrally.
Company Name
Address 1
Address 2
City
State/Province
ZIP Code
Country (2 Letters code)	ISO 3166 country code list
Phone
Fax
e-mail for order confirm
VAT # (CEE only)

	Please fill the following field with real names (not see above, etc.)
Administrative contact
e-mail

Technical contact
e-mail

Billing contact
e-mail

DOMAIN	Check for domain avayability
Name	WWW.
Kind	New domain Transfer domain
Action (for new domain)	Register now domain name to InterNIC or to GARR

Account Type
FrontPage Extensions	Yes, please install on this account

How do you reach us

Reseller code (if any)

Additional notes

PLEASE NOTE
In the past weeks we received several order forms filled with incorrect informations.
Please double check that the company e-mail is correct and fill the name/e-mail fields
for the amministrative contact.
After you submit the order, you will be mailed to the company e-mail address you
entered in the form. You must replay YES to the message to complete the order.