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Free Domain Name Order Form


Home > Services > Free Domain Name > Free Domain Name Order Form

You will be able to have a FREE sub domain name from Internet Communication Services Mauritius, e.g. yourname.yourdomainnamechoice.com, if you take the hosting services from ICSM for a minimum contract of 1 year.


Order Form for Domain Name

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Compulsory Field

 
Domain Information
 

yourname

yourdomainnamechoice.com

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yourname2

   
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yourname3

   
*
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Personal Information
*

Last Name

*

First Name

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E - Mail Address

*

Confirm E - Mail Address


Note: ICSM has a strict privacy policy. We do not sell or give away personal information. See our Privacy Policy for details.
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Telephone

Fax

     
Company Information

Company Name

Web site

Address

City/Locality

Country

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