Indo Info Services

Design & Manage Internet Website & Computerisation of Information

1A, Bhagat Tower, Kelkar Road, Dombivli (E), India - 421 201. Tel.: +91 9322511319 (R K Khanolkar)

E-mail: admin@indoin.com, URL: www.indoin.com

Form to be filled in by The Individual / Organization, wish to book the domain

Name: Individual / Organization

Telephone Nos.: STD Code: ( )

Tele.

Fax

Mobile

E-mail Address:

Address

P

i

n

URL / Domain Name / Name of Web Site, of your choice: (.com), (.org), (.net), (.in)…..)

(You may decide to use your entire business title as Domain Name. But it is advisable that, it should be easily remembered, known to all & but short in size. All letters small. You can not use space in between letters, but if it is a must can use (–) in between.

Place : Date :

Signature (stamp / seal for organization) Name of Signatory :

Collected by name

Date

Signature