Domain Registration Application

Domain registration

If you require any help filling in this form call 0800 781 3344.

Required *

Account Details

Phone Co-op Account No (if applicable):

Your Name: *

Business/Organisation: *

Contact Telephone Number: *

Contact E-mail Address: *

Please confirm your e-mail address: *

Address: *

Domains

Select both parts of your domain.

1. Domain name (ie www.thephone)

Domain name: *

2. Domain extension:

We'll contact you if your proposed name is unavailable.

Web services

If you have a Phone Co-op hosted website and wish to apply your domain name to it, supply the current URL.:

Mail services

If you have a mail server that you would like the domain pointing to, what is the mail server name?:

Payment and billing

Use my existing payment details

Direct Debit

We will send you a Direct Debit form to complete and return.

Bills will be sent to the contact e-mail address provided above.

Confirmation

I agree to comply with the Terms and Conditions.*

Please type out the text you see in the box below

Thanks for visiting

Please recycle this printout when you've finished with it.

Questions?

Call us on 0845 458 9070

or write to us at:

The Phone Co-op, 5 The Millhouse, Elmsfield Business Centre, Worcester Road, Chipping Norton, Oxon, OX7 5XL

Calls, internet and mobile for your business

Whatever the size of your organisation, The Phone Co-op will provide you with the services and personal support to keep you connected. Download our business brochure.

Our approach is simple and personal. By fully understanding your communication challenges and business needs we can tailor a solution for your business at a very competitive price.