Would you prefer to register your Domain Name off line?

Here you can order your Domain Name Registration by postal 
mail from anywhere in the world, and pay by check or money order.

Email or postal registration forms are located below:
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If you wish to send your Registration by mail;
First check that the Domain is available by using our availability search form. 
Then print this page, or copy and paste it to MS Word or Notepad, fill out the fields and mail it to us with payment. If you prefer to email this form and postal mail your payment, that's fine too. If you need assistance at any stage with this form please contact us by our support form or by using the Support Chat located on this site.

Send postal mail Domain registrations to: 

Attn: Barry L. Brumfield
US Domain Registrar
PO Box 12702
Alexandria Louisiana 71315
USA

Mail or email registration pricing for .com .net .org .info .biz .US
2 year minimum $15.00 /yr  - $30.00 total
5 year Registration $14.00/yr  - $70.00 total
10 Year Registration $13.00/yr  - $130.00 total

Form begins here:
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InstantDomainRegistry.com 
Domain registration text form
to be mailed in by postal or email only. 

Domain Name/s Information:
1.Purpose/Description of Domain______________
_______________________________________
2. Domain Name/s_________________________
_______________________________________ 
3. Total number of Domains listed above____
4. Number of years registration per Domain name____

Organization Using Domain: 
Organization Name ______________________
Street Address__________________________
City__________________________________
State_________________________________
Zip/Postal Code_________________________
Country_______________________________ 


Administrative Contact: 
(The person that will own and be responsible for this Domain Name)

Name_________________________________
Organization Name_______________________
Street Address__________________________
City___________________________________
State__________________________________
Zip/Postal Code_________________________
Country Code___________________________
Phone Number__________________________
Fax Number____________________________
E-Mail Address__________________________ 


Billing Contact: 
If the same as 
Administration mark "same" here _______

If different complete below: 
Name________________________________
Organization Name______________________ 
Street Address_________________________
City_________________________________
State_________________________________
Zip/Postal Code_________________________
Country___________________________
Phone Number__________________________
E-Mail Address_________________________

DNS (Hosting Company)
Fill in if you have a preference as to Hosting Company, 
if not we'll simply park your domain in our web servers for 
free until you decide on a Web Host .

DNS numbers if known or use the Company 
name and we will look it up for you:

DNS 1________________________________

DNS 2 ________________________________


Address confirmation of registration will be sent to:
____________________________________
(Postal or E-Mail) 

Minimum payment must be enclosed in the amount of 
$30.00 total per Domain Name for two years registration. 
Please make payment to: US Domain Registrar


Mail or email registration pricing for .com .net .org .info .biz .US
2 year minimum $15.00 /yr $30.00
5 year Registration $14.00 /yr $70.00
10 Year Registration $13.00/yr $130.00

Method of Payment: 
Cashiers check ___
Money Order ___
Personal or business check___ ( must clear before registration can be made)
Credit Card  Type_____
Card Number ________________________
Expiration Date_______________________
Name on Card__________________________________ 
(Must be exactly as on card) 

Amount enclosed or to be charged to Credit card:______

(sign here)_____________________________ Date_________

Our support staff will contact you immediately upon receipt of this form. 

InstantDomainRegistry.com 
Postal mailing address: 

Attn: Barry L. Brumfield
US Domain Registrar
PO Box 12702
Alexandria, Louisiana 71315
USA


Please feel free to email us 
with any questions you may have.

Contact us

If you prefer to Register online, please proceed to 
our web based registration form on our Main Page