********************************************************************* 
Please DO NOT REMOVE Version Number or any of the information 
below when submitting this template to Network Solutions 
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Domain Version Number: 6.0

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IMPORTANT: Business Account Program Members and Premier Partners 
should email completed NEW domain requests to the mailto address 
you have been provided with. MODIFY and DELETE requests should be 
emailed to hostmaster@networksolutions.com 
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AGREEMENT TO BE BOUND. By applying for a Network Solutions' service(s) 
through our online application process or by applying for and 
registering a domain name as part of our e-mail template application 
process or by using the service(s) provided by Network Solutions under 
the Service Agreement, Version 5.0, you acknowledge that you have read 
and agree to be bound by all terms and conditions of this Agreement 
and any pertinent rules or policies that are or may be published by 
Network Solutions. 

Please find the Network Solutions Service Agreement, Version 5.0 
located at the URL:

http://www.networksolutions.com/en_US/legal/service-agreement.html

Explanation of Fields New to Template Version 6.0:

Sections 9 and 10 are for New Registrations only.

If the Registration Period is left blank, the default registration 
will be for 2 years.

The information you supply on this form may be shared unless you 
opt out of the bulk Whois database as indicated in section 9b below.
If you have any questions, please see the section entitled "With
Whom We May Share Information" in our Privacy Policy available at
http://www.networksolutions.com/en_US/legal/privacy-policy.html

[ URL ftp://www.networksolutions.com ] [1/2000]

Authorization
0a.  (N)ew (M)odify (D)elete......: 
0b.  Auth Scheme..................: 
0c.  Auth Info....................: 

1.   Comments.....................: 

2.   Complete Domain Name.........: 

Organization Using Domain Name
3a.  Organization Name............: 
3b.  Street Address...............: 
3c.  City.........................: 
3d.  State........................: 
3e.  Postal Code..................: 
3f.  Country......................: 

Administrative Contact
4a.  NIC Handle (if known)........: 
4b.  (I)ndividual (R)ole..........: 
4c.  Name (Last, First)...........: 
4d.  Organization Name............: 
4e.  Street Address...............: 
4f.  City.........................: 
4g.  State........................: 
4h.  Postal Code..................: 
4i.  Country......................: 
4j.  Phone Number.................: 
4k.  Fax Number...................: 
4l.  E-Mailbox....................: 

Technical Contact
5a.  NIC Handle (if known)........: 
5b.  (I)ndividual (R)ole..........: 
5c.  Name (Last, First)...........: 
5d.  Organization Name............: 
5e.  Street Address...............: 
5f.  City.........................: 
5g.  State........................: 
5h.  Postal Code..................: 
5i.  Country......................: 
5j.  Phone Number.................: 
5k.  Fax Number...................: 
5l.  E-Mailbox....................: 

Billing Contact
6a.  NIC Handle (if known)........: 
6b.  (I)ndividual (R)ole..........: 
6c.  Name (Last, First)...........: 
6d.  Organization Name............: 
6e.  Street Address...............: 
6f.  City.........................: 
6g.  State........................: 
6h.  Postal Code..................: 
6i.  Country......................: 
6j.  Phone Number.................: 
6k.  Fax Number...................: 
6l.  E-Mailbox....................: 

Primary Name Server
7a.  Primary Server Hostname......: 
7b.  Primary Server Netaddress....: 

Secondary Name Server(s)
8a.  Secondary Server Hostname....: 
8b.  Secondary Server Netaddress..: 

Product/Service Options (For New Registrations Only)
9a.  Registration Period (1-10yrs):
9b.  Bulk Whois Optout (Y/N)......:

Channel Payment/Identifier Options
10a. Channel Identifier...........: