Central Oregon Internet
Domain Name Registration Form

Click here to see if the domain name you want is available!
1 Purpose/Description
2 Complete Domain Name
Note: Domain name should be of the form somename.com
do NOT enter http://somename.com or www.somename.com

Organization Using Domain Name
3a Organization Name (Registrant)
3b Street Address
3c City
3d State (2 letter)
3e Postal Code

Billing Contact
6a NIC Handle (if known)
6b (I)ndividual (R)ole? I   R
6c Name
6d Organization Name
6e Street Address
6f City
6g State (2 letter)
6h Postal Code
6j Phone Number
6k Fax Number
6l E-Mailbox

Section 1 - Purpose of Registration Briefly describe the domain name Registrant and the purpose for which this domain name is being applied. The description should support the choice of the top-level domain described below in Section 2. return to form

Section 2 - Complete Domain Name For second-level domain names under .COM, .ORG, .NET, .EDU or .GOV, insert the name of the domain you wish to register as in, "EXAMPLE.COM". The total length of the two-part (second level.top level) name may be up to 26 characters (including the 4 characters .com). The only characters allowed in a domain name are letters, digits and the dash (-). A domain name cannot begin or end with a dash (see RFC 952). The top level domains registered by NSI are .COM, .ORG, .NET, .EDU and .GOV. Briefly: - COM is for commercial, for-profit organizations - ORG is for miscellaneous, usually, non-profit organizations - NET is for network infrastructure machines and organizations - EDU is for 4-year, degree granting institutions - GOV is for United States federal government agencies US state and local government agencies, schools, libraries, museums, and individuals should register under the US Domain. See RFC 1480 for a complete description of the US Domain and registration procedures. GOV registrations are limited to top-level US Federal Government agencies (see RFC 1816). Registrant is responsible for the accuracy of name submission; names will be registered as submitted; any changes will entail an additional registration fee. return to form

Section 3 - Domain Name Registrant The domain name is considered to be registered to a "legal entity", even if the legal entity is an individual (e.g., Lee Smith). Do not list a "dba" or acronym as the registrant. In this section, it is important to list the legal name and address of the Registrant, not the Internet Service Provider ("ISP"). If Items 3d or 3e are not applicable for your country, leave that Item blank. Items 3a, 3b, 3c and 3f must be completed or the Agreement will not be accepted. Item 3f may be either the country name or two-letter country code. A list of country codes is available at "http://www.isi.edu/div7/iana/domain-names.html". return to form

Section 4, 5, 6 - Contacts The Billing Contact will be invoiced for registrations and renewals. If the Technical or Billing Contact information is missing from the Registration Agreement, it will be presumed that the domain name Registrant has authorized the Administrative Contact/Agent to perform those roles. If the contact has never been registered or the handle is unknown, leave Item "a" (NIC Handle) blank. The registration software will check for matches with existing contact records. If a contact record is found in the database that matches the information on the Registration Agreement in a significant way (name, organization, phone, Email Address), the database information will override the information you supply in the Registration Agreement. (A contact record cannot be updated by using the Registration Agreement.) Each contact in NSI's database is assigned a "handle" - a unique tag to differentiate him/her from all other contacts in the database. Only one handle should exist for each Individual or Role. If the contact handle is already in the database, insert it in Item "a" and leave the rest of the section blank. If the contact handle is inserted and additional information is also provided, only the contact handle will be used. Any additional information will be ignored. Use contact handles whenever possible. Item b - indicate the type of contact you are registering. If the contact is a person, insert "I" for "Individual". If it is a group or an organization where several individuals may be acting in that role, insert "R" for "Role". Item c - place the name of the Individual or Role being registered. For Individuals, supply the full name (last, first and middle initial). Do not use titles. If suffixes are used, such as "Jr." or "III", separate the name from the suffix with a comma. For example, "Public, John Q., III" will result in a handle in the form of "JQP123". For Role contacts, provide the full name, for example, "Customer Service Support Center" would generate a handle of CSSC-ORG. The maximum length of a handle is 10 characters. Item e - Street Address. Multiple entries in Items j, k, and l must be separated by a comma. For each contact, if a NIC handle is not entered in a, Items b, c, d, e, f, i, j, and l must be completed. Agreements that do not have this information will be returned. A valid Internet email address is REQUIRED for all Contacts in item "l". Separate the username and hostname parts of the mailbox by an "@" symbol. For example: user@example.com return to form