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REGISTRATION REQUEST FORM FOR .ltd.uk & .plc.uk NAMES
Strict rules apply to the registration of these domain names, make sure you've read the section SPECIAL UK NAMES (ltd.uk and plc.uk domains).

Note: For your own records a copy of this information will be sent to your e-mail address (that you enter below). We will contact you right away to confirm your registration


	Your name:
	Contact telephone No:
	Fax:
	E-mail address:
	Company name: (as it is registered at Company's House)
	Company Registration No:
	Street Address:
	City/Town:
	County/State:
	Post/Zip Code:
	Country:
	Tel:
	Any extra information or questions you wish to ask:
	I have read and understood the rules of .ltd.uk and .plc.uk domain names in the section SPECIAL UK NAMES (ltd.uk and plc.uk domains).