Secure Domain Registration Form

This application form is for the registration of and domains only. If you wish to register a .com, .net, .org, .info or .biz domain please click here. If you wish to register a domain, please call us on 0800 316 1006 as special conditions apply.
Registration Form for and Domains
Your Details
Your Chosen Domain Name
Name of the Company, Organization or Individual the domain is to be registered to (the legal owner)
Type of organisation:
Company / Charity or School Registration No:(if applicable)
Trading Name: (if applicable)
Registrant Contact's FULL Name
Registrant Contact's E mail Address
(please supply a valid and working email address)
Street Address
Town / City
Daytime Phone Number
If an existing (or recently joined) Positive customer, please let us know your username
(please leave blank if not applicable)
Please notify us of any
additional instructions


New registrations cost £25 + VAT per year, 2 years payable in advance.
This includes all registry fees. No hidden charges. No charge for domain name transfers.
Credit Card Details
Name On Credit Card
Credit Card Type
Card Number
Expiry Date
Start Date
(Maestro / Solo card only)
Issue Number
(Maestro / Solo card only)
Security Number (CSC)
(Last 3 digits on signature strip)
UK domain registrations are subject to the Nominet UK terms and conditions
When your domain is due for renewal, you will receive an invoice 30 days prior to expiry of the domain. The default term is 2 years, but we can renew your domain for longer periods on request. The renewal will only be processed upon receipt of payment.

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