International Domain Name Reseller Agreement

Please print clearly in the spaces provided

	Business Name	

	

	Contact Name	

	

	

	Business Address	

	

	

	Telephone (including extension)

	Fax No	

	Email address to accept 
	registration requests from	

Return this form to:
Servicecentre.co.uk Ltd
PO Box 136
HEREFORD
HR1 4YQ

Tel: 0870 7500501
Fax: 0870 7500502

E-mail: sales@servicecentre.co.uk
www.servicecentre.co.uk

Registered in England & Wales No. 3239183
Registered Office: Wyewoods Mordiford, Hereford, HR1 4LP

I hereby instruct Servicecentre.co.uk Limited to accept domain name registration requests for domain names ending in .com, .org and .net using the "Int domain name registration template" from the email address given above. I understand that once a request has been processed by Servicecentre.co.uk it is not possible to amend or revoke the registration and the full registration fee is payable. I have read and agree to the terms and conditions given at http://www.servicecentre.co.uk/reseller . I agree to pay the registration fees within seven days of the invoice date.

Signed 		Date	
Position in Company/Business