<%= FormatDateTime(Date, 1) %>
 
 
 
Mirror Domain Order Form
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Fill in the form bellow to order one or more Mirror Domains for you
Master Domain, by adding mirror domains you website will be
made available for viewers to find under the mirror domain.

Mirror Domains costs €30 Euros each p/y
Required Master Domain Name:
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Customers Name:
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Company Name:
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Address:
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Street:
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City:
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County / State:
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Country:
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Phone:
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E-mail: (Must be a valid e-mail address)
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An invoice will be e-mail or posted to the e-mail address or postal address you have provided for which you must forward payment within 10 working days.
(All prices are subject to 21% VAT)

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