Registration
Form:
Cost:
$88.00 for 2
years for .com.au
$45.00 per year for .com
address
.com.au
.com
.net.au
.asn.au
Registrant
Details
*
required fields
NOTE:
The
Registrant field must
be a person, company or
incorporated association,
you cannot put trusts,
trading names or partnerships
as the registrant.
*
Registrant Name:
*
Registrant ID Type:
Australian
Company Number (ACN)
Australian
Business Number (ABN)
None
- Registrant is a Person
*
Registrant ID:
ACN/ABN ONLY
* Eligibility
Type:
Company
Registered Business
Sole Trader
Trademark Owner
Pending TM Owner
Incorporated
Association
Club
Non-profit Organisation
Charity
Trade Union
Industry Body
Commercial Statutory
Body
Religious/Church
Group
Political Party
Other
*
Claim Type:
CHOOSE....
Name
of a service which we
provide
Exact
match for business name
or trademark
Abbreviation
of business name or
trademark
Acronym
of business name or
trademark
Name
refers product we build
or manufacture
Refers
to program we administer
Name
of event that we sponsor
Name
of activity we teach
or train
Refers
to a venue which we
operate
Name
of the profession practiced
by us or our employees
If you are
making a claim for the
domain based on a
Business Registration
Name OR Trading Name ,
please submit those details
here:
Close
and substantial
connection:
If
you are
making
a claim
for the
domain
based
on a "close
and
substantial
connection"
to your
business,
please
provide
details
below:
Details
of connection:
Owner
Contact Details *
*
First Name:
*
Last Name:
*
Organisation:
*
Address (Line 1):
Address
(Line 2):
*
Town:
*
State:
*
Postcode:
*
Country:
Antarctica
Argentina
Australia
Austria
Belgium
Brazil
Canada
Denmark
England
Finland
France
Germany
Great
Britain
Greece
Hong
Kong
Iceland
Ireland
Italy
Japan
Korea,
Republic Of
Liechtenstein
Luxembourg
Monaco
Montserrat
Netherlands
New
Zealand
Norfolk
Island
Norway
Portugal
San
Marino
Singapore
South
Africa
Spain
Sweden
Switzerland
Taiwan
United
Kingdom
United
States
*
Email:
*
Phone:
Fax: