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******************** Please DO NOT REMOVE Version Number ********* Domain Version Number: 1.5 **************** Please see detailed instructions ***************** ******** Only for registrations under the top level of .TM ******** Authorization 0. (N)ew (M)odify (D)elete: 0c. User ID: (Your assigned ID number for automated registrations) 0d. Password: (Your assigned password for automated registrations) 1. Purpose/Description: 2. Complete Domain Name:Organization Using Domain Name 3a. Organization Name: 3b. Street Address: 3c. Town/City: 3d. State: 3e. Post code: 3f. Country: Administrative Contact 4a. NIC-Handle: or 4b. (I)ndividual or (R)ole: 4c. Name (Last , first): 4d. Organization Name: 4e. Street Address: 4f. Town/City: 4g. State: 4h. Postcode: 4i. Country: 4j. Phone Number: 4k. Fax Number: 4l. E-Mailbox: 4m. Password: Technical Contact 5a. NIC-Handle: or 5b. (I)ndividual or (R)ole: 5c. Name (Last , first): 5d. Organization Name: 5e. Street Address: 5f. Town/City: 5g. State: 5h. Postcode: 5i. Country: 5j. Phone Number: 5k. Fax Number: 5l. E-Mailbox: 5m. Password: Billing Contact 6a. NIC-Handle: or 6b. (I)ndividual or (R)ole: 6c. Name (Last , first): 6d. Organization Name: 6f. Town/City: 6g. State: 6h. Postcode: 6i. Country: 6j. Phone Number: 6k. Fax Number: 6l. E-Mailbox: 6m. Password: Primary Name Server ns1b. Primary Server Hostname: ns1c. Primary Server Net Address: Secondary Name Server ns2b. Secondary Server Hostname: ns2c. Secondary Server Net Address: Optional Name Server ns3b. Optional Server Hostname: ns3c. Optional Server Net Address: Payment Details (for New) 9a. Product: (The relevant Product Code - see guide) 9z. Account: (Your assigned account number) Current Admin Contact Password (for Modify) 10. Password: