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Contact Information
Please fill in the following form in English (except Chinese domain name). You must complete items marked with **. We will not accept your application or activate your account if incorrect information is provided intentionally.

** Please select the services you want:








Please Click Here for Domain Name Checking

Please input the Domain Name (If applicable) :
Domain Name
Note:	If you want to apply a com.hk web site, please ensure that you have set up a company in Hong Kong, please also fax your Business Registration Certificate to 2143-6636.

Are you registering this domain as a company or an individual? (individual is only for international domain) Company Individual

# ASP / CGI support ($20 / month) Yes No
# No. of extra POP3 e-mail accounts ($10 / month per account)
# applicable for the clients who apply for web hosting services.

Administrative/Billing Contact: This is the contact point at your organization for administrative and billing questions about the domain.
** First Name
** Last Name
	Note: Name listed on ID Card is expected.
**Title	Mr. Mrs. Ms.
** Sex	Male Female
Date of Birth

Note : The information below is who the domain name is being registered for.
** Company / Individual Name
** Company Address / Individual Address
** Phone
Fax
** E-mail
City
** Country


** Payment Method
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If you have any problems, please send e-mail to signin@eweb.com.hk