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Domain: Information needed to register a new domain in our domain management program:

Please fill out the following form for us to register a new domain for you in our domain management program. By filling out this form, you agree to pay $25 per year for this service, which includes the registration fees at the domain registrar. A second or third domain will be charged at $15/year.

1. Organizations Name *
2. Contact Person: *
3. Exact Domain(s) to Register (i.e. mydomain.org) If more than one domain, be sure to indicate which is the primary domain: *
You can check to see if your preferred domain name is available by clicking here: www.namecheap.com
4. Enter Your Email Address: *
5.