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New Domain Name Registration Form

Bozz.com as the affiliate partner of Tucows Network accepts registration for .com, .net and .org domain names at only $45 US for 2 years ($25 US per year)

To register your domain name, please complete the form below. Make sure the domain you are registering is available (check here). We will not process your application if the domain name is already taken.

Domain Name :
CONTACT INFORMATION
First Name :
Last Name :
Company / Organization :
Address (1) :
Address (2) :
Address (3) :
City :
Province :
Country :
Post Code :
Phone No. :
Fax No.(optional) :
E-Mail :
TECHNICAL INFORMATION
Primary DNS Hostname :
Secondary DNS Hostname :
Third DNS Hostname :
Fourth DNS Hostname :
Fifth DNS Hostname :
Sixth DNS Hostname :
BILLING INFORMATION
Payment Method :
Credit Card No.:
Expiry Date : / 20
Confirmation Code:
Please enter the exact code as appears above:


Required document:
- Photocopy of Credit Card or Proof of Payment/Transfer

Please send it to PT Bitnet Komunikasindo,
Jl. R.P. Soeroso No. 37, Jakarta 10350, or fax to +62 (021) 390 3938

Payment via bank transfer to one of the following accounts:

PT Bitnet Komunikasindo
BNI Cabang Gunung Sahari
a/c 10543875

 PT Bitnet Komunikasindo
BCA Cabang Gondangdia
a/c 455.3009.017


By pressing the REGISTER button below, you signify that you have read and accepted the Registration Agreement :

  • Registration Agreement for .com, .net, .org domain names (click here)
  • Registration Agreement for .biz domain name (click here)
  • IP Claim Agreement for .biz domain name (click here)
  • Registration Agreement for .info domain name (click here)

Click REGISTER to proceed

PT Bitnet Komunikasindo · Jl. R.P. Soeroso No. 37 Jakarta 10350 - Indonesia · Tel: +62.21.390.3939 · Fax: +62.21.390.3938
Copyright © 2005 BOZZ.COM ®, All Rights Reserved - Our Privacy Policy
Bozz.com & its logo are registered trademarks of PT Bitnet Komunikasindo