Register your own
Top Level Domain Name!

Use up to
72 characters!

Your DOT COM, DOT NET, DOT ORG!

SAVE $15.00!

Only $55.00 for the first 2 years.

Renewals are $27 per year after that.

DON'T PAY $35.OO A YEAR FOR YOUR DOMAIN!

Reserve your Domain immediately and
be activated in 2-3 days.

DOMAIN REGISTRATION HERE

Registrant Information

Domain Name:

Owner Name:
Address:
City:
State/Province:
Postal Code:
Country Code:
Email:
Phone:

Contact Information

Do NOT use InterNic handle!	CORE handles only - or leave blank!
Handle:
First Name:
Last Name:
Address:
City:
State/Province:
Postal Code:
Country Code:
Email:
Phone:
Fax:

Name Server Information

Enter the Nameserver information of your ISP here. If you do not have this information yet, you should leave them at the default values.

Primary Name Server
Hostname:
IP Address:

Secondary Name Server
Hostname:
IP Address:

Credit Card Information

I/We hereby authorize you to charge the domain name fee of US $55.00 (for 2 years, INCLUDES all NIC Fees!) to my credit card, information see below. Payment is due for successful registrations only.

*Method of Payment:	VISA MasterCard
Credit - Card #:	* - - -
Expires:	*
Full Address of Cardholder:	* Street Address, City, Zip, State required * *
Name on Card:	*
.	Payment Service: G & D International LLC 155 Wailea Ike Pl. #160 HI 96753 USA

* Do not press the Submit button more than once.
Please wait for processing.

Mountain Access Internet

Nationwide Internet Service

P.O. Box 40
Big Bear City, CA 92314
voice: (909) 585-3534 * fax: (909) 585-1318
email: info@mountainaccess.net

Register your own Top Level Domain Name!