First Name:
Last Name:
Company Name:
Telephone:
Fax:
E-mail:
Address:
Zip Code:
City:
State (Province):
Country:
The technical informations about your provider or subdomain are not necessary, if you want just to reserve a domain name.
Please choose one of these choices if you want to connect the domain name and a document on the web.
10 mb Web space at server of Secura for 5 US-dollars* per month
Secura may choose a free sub domain for me :
Connect the domain with my domain/sub domain :
Use the IP-address of my host :
I want to host the domain at my provider
First Name Server: IP-number:
First Name Server: name:
Second Name Server: IP-number:
Second Name Server: name:
Register and connect for me at the price of 50 US-Dollars* per year this/these domain(s):
.org
.com
.net
.co.uk
.org.uk
Register and reserve ("parking") for me at the price of 30 US-Dollars per year this/these domain(s):
.de
The first registration period consists of two years.
You can order also these domain:
from Austria
at-domain
from Italy like e.g. get.it!
it-domain
Island-domain
Your space for your free password and additional orders:
payment
I pay 100/60 US-dollars by PayPal to secura@domainregistry.de
I pay 100/60 US-dollars cash by check
I send 100/60 US-dollars to your account at
Stadtsparkasse Köln, Konto-Nr.2007982305 (BLZ 370 501 98) S.W.I.F.T.:COLS DE 33
I want to pay in EURO and wire the money to:
Commerzbank Bremen,Konto-Nr. 1101724 00 (BLZ 29040090) S.W.I.F.T: COBA DE FF 290
I pay the registration by
credit card
By clicking at the button you accept our trade conditions, Registrants rights and responsibilites and the Uniform Domain Name Dispute Resolution Policy of the Internet authority ICANN. These documents are the base of the business relationship between you and Secura GmbH concerning domain registration.
By contract with ICANN we are enforced only to connect pre-paid domain. Please do pay at once in advance. You will get a bill and a confirmation about your domain registrations.