Create Reseller Account

Create a reseller account

Domain Name:*

www. This is the domain name of your website

Username:*

Password:*

Re-type Password:*

Prefix:

First Name:*

Last Name:*

Company Name:*

Country:*

Address 1:*

Address 2:

Apt / Suite / Other

City:*

State/Province:*

Zip/Postal Code:*

Support Telephone:*

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Support Fax:

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Support Email:*

This is the email address you use to communicate with your customers

Contact Email:*

This is the email you use to communicate with 007names Inc.

Write the answer in the below box.

	I agree to 007Names, Inc Reseller Agreement
	Reseller Agreement

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