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Representative Name:
Email Address:

Confirmation of this request will be sent to this email address. Please insure that your spam blocks allow email from
Email Address Again:


Domain Name: 
This is the domain name you want renewed.
Private Registration:  
ICANN now requires all contact information for any domain registration to be accurate and verifiable. They have implemented a system which verifies contact information and in the event it can not be verified they have the right to take possession of your domain name. Because domain registrations are public knowledge, your information is viewable to the world. Bulk Register now offers Private Registrations which will hide your information from public knowledge, therefore when a whois is performed on your domain name, Bulk Register's information will appear as the contacts, hiding you from spammers, telemarketers, and other individuals with bad intent who mine the whois database collecting your information.
Registration Renewal Fee: 
Registration Renewal Period: 

Information must match exactly as it is with your credit card provider or your request will not be successful.

Credit Card Type:
Issuing Bank:
This is the bank or institution that issued your credit card. For example, CitiBank.
Credit Card Number:
Do not include any spaces or hyphens.
C V V Number:
This is the 3 digit number located on the back of your Visa or Mastercard or the 4 digit number on the back of your American Express. If you are unsure what it is, contact your credit card institution before continuing.
Expiration Date:

Name On Credit Card:
Billing Address:
ZIP Code:
Phone #:
(Include Area Code)

           BULK REGISTER / ICANN REGISTRATION AGREEMENTS: (view in separate window)
Registration Agreement

*    I Agree To And Understand That I Am Bound By The Above Policies as Outlined By Bulk Register LLC and ICANN.

           BLUEINKIT.COM REGISTRATION AGREEMENT: (view in separate window)
BLUEINKIT.COM - Registration Agreement

*    I Agree To And Understand That I Am Bound By The Above Domain Registration Agreement as Outlined By BLUEINKIT.COM.

Please review this form for accuracy before submitting. For security purposes, your remote address and user agent are traced through submission.

By submitting this form you confirm that you are the autorized user of the above credit card and you authorize BLUEINKIT.COM to charge this card for the registration fee(s) you have indicated above.

NOTE: BLUEINKIT.COM will be the name that will appear on your credit card/banking statement.

NOTE: We DO NOT refund fees for domain registrations - please verify your entries before continuing.