InterNIC Domain Name Registration Form

Make sure to fill out all the fields properly and completely. All, except fax, are required.
Use this form to apply for a new .com, .net, or .org domain.

Enter Domain name:
(eg. xyz.com, NOT www.xyz.com)

First please check if the name you want to use is available
using this InterNIC WHOIS Search
Name (Last, First):
Organization:
Street Address:
City:
State/Province (U.S./Canada use two-letter code):
Postal Code/ZIP:
Country (use two-letter code):
Phone Number:
Fax Number (optional, leave blank if none):
E-Mail address:

InterNIC will bill you directly for your domain name ($70 fee, which pays for two years of domain name service) 2-4 weeks after your domain registration. We will bill you seperately for our $ 49.95 one-time registration fee.

Please re-check your form and make sure that everything is filled in correctly.
Once you have done that, please it, or you can it to start over.

Once this form is submitted, your domain will take 5 to 8 days to be set-up by InterNIC; this is not dependant on StarTexas.com. All will be handled by us for you, and you will receive a bill from us for $ 49.95. You will receive an E-mail from us when we have received this form and another when we have completed the registration. InterNIC will send you their bill for $ 70.00 directly to you for your new domain name. The InterNIC Registration Agreement can be seen here, this is what we fill out on your behalf.