Domain Registration Information 
Instant Internet Corp.
6355 Topanga Canyon Blvd., Suite 513
Woodland Hills, CA 91367-2109
Voice (818) 713-1313 FAX (818) 888-0513

		

Domain Name Requested: 								

Organization Using Domain Name

Purpose/Description: 									
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InstaNet User Name: 									

Administrative Contact

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City: 						 State: 	 Zip: 				
Phone Number: 				  E-Mailbox: 				
Route All Domain E-Mail to E-Mailbox: 						

Billing Contact

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Name: 											
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City: 						 State: 	 Zip: 				
Phone Number: 				  E-Mailbox: 				
Method (E-Mail or Postal): 								

InstaNet does not charge for the application, transfer, set-up or administration of your domain. Submission of this application constitutes an agreement to hold a business account with InstaNet for a minimum of six (6) months, otherwise a $100 fee must be assessed. The InterNIC will bill you directly for the registration of your domain at $100 for the first two years, $50 per year thereafter.

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