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 Family Entertainment      Network LLC
 1123 S Broadway
 Pittsburg, KS 66762

 Tel: 620-231-7777
 Fax: 620-231-4066

 E-mail: sales@fament.com


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Submit Wolf
Register/Transfer A Domain
[ 2005-04-04 15:52 ]

You can either register or transfer your own domain yourself (for more information see the Hosting FAQ link to the left) or we can register it for you. If you would like us to take care of the registration for you, please check to make sure your domain is available and then fill out the form below. We will be sure to e-mail you back when the registration process is complete.

Incomplete forms will NOT be processed. Do NOT use the 'enter' key to move between fields, use the 'tab' key instead (or your mouse).

The domain name I am interested in or would like to transfer is:
(Domain names can be up to 63 characters long)

This is a NEW registration                This is a domain TRANSFER

Please note that any information that you submit with regards to a domain registration, except your payment information, becomes available to the public. This is the nature of the domain registration process; it is not something we share without being required to by any domain name registrar.

Domain Name Registrant Information
Registrant
Name:
(The Registrant can be a Company or an Individual, whoever will own the domain name)
First
Name:
Last
Name:
Title:
Company:
Address1:
Address2:
City:
State:
Country:
Zip Code:
E-mail:
Phone:
Fax:

 

Administrative Contact Information
This should be the person responsible for your computer/system administration, or you as an individual domain owner.
First
Name:
Last
Name:
Title:
Company:
Address1:
Address2:
City:
State:
Country:
Zip Code:
E-mail:
Phone:
Fax:

Technical Contact Information

This is normally someone at the company that is hosting your website (FEN).

I would like FEN to fufill this role for me
I would like this to be the same as the Administrative Contact
I would like the following person to be the Technical Contact:

First
Name:
Last
Name:
Title:
Company:
Address1:
Address2:
City:
State:
Country:
Zip Code:
E-mail:
Phone:
Fax:

Billing Contact Information

This is normally the person at your company who is responsible for your accounts payable, or you if it is an individual account.

I would like this to be the same as the Administrative Contact
I would like this to be the same as the Technical Contact
            (do NOT choose this option if FEN is your Technical Contact)
I would like the following person to be the Billing Contact

First
Name:
Last
Name:
Title:
Company:
Address1:
Address2:
City:
State:
Country:
Zip Code:
E-mail:
Phone:
Fax:


The cost to register a domain is $20 per year with a two year minimum; your credit card will be charged a total of $40 to register a NEW domain. Transfers require a one year renewal at the time of transfer; your credit card will be charged a total of $20 to transfer a domain name to our servers.

Please note that domain registrations that are submitted without payment information will NOT be processed. If you do not want to submit your credit card info below, you can either 1) Call us at 620-231-7777 or 2) Fax us with your credit card info (make sure to reference your domain name, above, at 620-231-4066. Thank you.

Credit Card Information
First Name
on Card:
Last Name
on Card:
Card Number:
Expiration Date: Month:      Year:
Company:
Address1:
Address2:
City:
State:
Country:
Zip Code:
E-mail:
Home
Phone:
Work
phone :

I hereby authorize Family Entertainment Network to charge my credit card for the above amount to pay for my domain registration. I understand my credit card account will be charged $40 for a NEW registration or $20 for a domain transfer. This box MUST be checked in order for your payment to be processed.

Comments or Questions:

Click the "Submit" button to Send your form and submit your payment
Click the "Reset" button to Clear the form and start over

 

By: Beverly


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Copyright © 2001 Family Entertainment Network LLC All rights reserved
Copying of this page or any of the contents is strictly prohibited.

Produced by: Eje Gustafsson and Beverly Gustafsson

 
 

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