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Application

Submit your Application

Account Name: *	(or Mailing List name or User Name)
Domain Name: *	.
Offsite Email Address: *	(for system messages)

Account Type
Disk Space Limit: *	Click here for Prices
UU Web Templates: *	Install Do Not Install (Can be added later.)
FrontPage Extensions: *	Install Do Not Install (Can be added later.)
Tomcat Java: *	Install Do Not Install (Can be added later.)
Development Tools: *	Install Do Not Install (Can be added later.)
Payment Frequency: *	Quarterly Yearly (UUN will bill account after 30 days.) Not Applicable
Domain Name Registration: *	Already Registered Need Registration Transfer (Free plus Reg fee) Need New Registration ($12 per year for .com/.net/.org) Not Applicable (Mailing Lists and User Accounts)

Organization Name: *
Address: *
City, State/Province, Postal Code: *
Country: *
Administrative Contact:
Name (first, last): *
Organization Name: (if different)
*Address: Same as Organization**
City, State/Province, Postal Code: *
Country: *
*Phone Number: (XXX) XXX-XXXX**
Fax: (XXX) XXX-XXXX	(optional)
E-Mail: *
Billing Contact: *	Same as Administrative Contact.
Name (first, last):
Organization Name: (if different)
Address:
City, State/Province, Postal Code:
Country:
Phone Number: (XXX) XXX-XXXX
Fax: (XXX) XXX-XXXX	(optional)
E-Mail:

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