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Mom's Only Mall™ Domain Account Request Page This page will allow you to request your Domain World Wide Web account. You will be notified by E-Mail when your account is ready to use.

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Contact Information Your Name : Your E-Mail Address: Your Phone Number: Will you be reselling MOM Hosting Services? : No Yes Account Information Domain names such as yourname.com, yourname.net or yourname.org require Internic Fees. We will register new domains with Internic, and we will facilitate the transfer of registered Internic domains to MOM. In order to avoid Internic fees you can select a domain name such as http://www.mom.at/home/yourname, http://www.mom.at/work/yourname, http://www.mom.cc/biz/yourname or http://www.mom.to/baby/yourname. Domain Registration : New (Internic) Transfer (Internic) Other (International) MOM AT HOME (No Internic Fees) MOM AT WORK (No Internic Fees) MOM BIZ (No Internic Fees) MOM TO BABY (No Internic Fees) Domain Name (e.g. yourname.com, .org, .net, etc. ) : Login Information Select a login name and initial password. Your password should be at least 6 characters and not based on dictionary words. We will do our best to accomodate your username/password combination request. Username (3-10 characters) : Password (6-8 characters) : Web Server : DomainsDomino Unix Server (CGIs, Shopping Cart, etc.) SwitchPro Unix Server (CGIs, Shopping Cart, etc.) DomainsDomino Unix Server with MS Frontpage 98 Extensions SwitchPro Unix Server with MS Frontpage 2000 Extensions Free Unix Server (MOM AT HOME, MOM AT WORK, MOM BIZ, MOM TO BABY, etc.) Organization and Billing Contact This information will also be used to register a new domain with Internic. Name (Last, First): Organization Name: Street Address: City: State: Postal Code: Country: Phone Number: E-Mail:

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