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Domain Application Form
Features
Web forwarding to any existing web site or subdirectory
Domain style E-mail addresses forwarded to any real mailbox
Annual Fee: £36 (30 ex VAT)
Contact details
Real name
Enter your contact name
Address
Phone number
Email address
If you already have an existing email address we should use to contact you please provide it here.
Billing address
Enter your billing address if different from above
Organisational Information
Organisation Name
Name of your organisation (if applicable)
Domain name details
Enter the domain name you would like to register or transfer — e.g. "organicfishing.org". You can check if your chosen name is available using our
Whois checker
service. Please choose from domains ending in .org.uk, .co.uk, .net, .com or .org
Domain name
Domains names cannot be longer than 23 letters long and may not contain punctuation apart from hyphens e.g. ecofriendly.org.uk or eco-friendly.org.uk are examples of acceptable domain names. GreenNet will act as the technical and billing contacts for the domain while the domain is hosted with us.
Are you transferring an existing domain name to us from another host? If so select "Yes" and please fill in the following details.
Domain transfer authorisation code
If you are transferring an existing domain name to us, this will be issued by your current provider. (Not used for .uk domain names.)
Email
Virtual email addresses
If you would like us to set up "domain style email addresses" e.g. aperson@ecofriendly.org.uk you can list them here. If you are unsure of your requirements at this stage or would like to talk it through with our team leave this blank for now. If you do know the addresses please specify your domain style e-mail addresses followed by the real addresses / GreenNet mailboxes you want the mail forwarded to. The domain style addresses may contain punctuation and may be longer than 8 letters. The mail can be forwarded either to the GreenNet e-mail account / mail box that we will be setting up or to any other e-mail addresses you already use.
Website
Website description
What does your organisation do ? What are the aims of the website ? What does it contain ? Please provide a description of your site so that you can be included in the GreenNet A-Z members directory.
Security
Security Question
Enter a security question
Security Answer
Enter your answer to the security question
Billing
Payment options
- Select -
Cheque
Credit/Debit Card
Direct Debit
Standing Order
Select your payment method. Please note that your account cannot be activated until we have received payment via one of the above methods.
I am an existing customer
If you already have some other services hosted with us, e.g. email accounts, mailing lists, domain names or websites, please tick this box and enter the name or billing reference.
Reference
Please enter your GreenNet billing id or other reference, e.g. an email account name or invoice number, so that we can link up your services and make sure you are on the best deal.
How did you hear about GreenNet?
Additional notes
Add any additional notes or comments you would like to pass on to the team here.
I have read and accept the
GreenNet Terms and Conditions
Submit