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CHS Enterprises

1706 Idylwood Court

Modesto, CA 95350

(209) 480-7350

info@chsent.info

Domain Name Registration Form

CHS Enterprises is an full service website design and hosting company. We handle all aspects of your Website needs. Unlike other domain name registration companies that require you to do the domain name search and order process yourself, we do it all for you.

If you would like to check the domain name availability yourself click here.

Complete the form below and we will do the rest for you and email you all of the registration information and instructions (if needed).

Domain Name Registration Form

* Required Fields

Enter the Domain name you would like to register.* Number the TLD extensions below in the order you prefer to attempt to register your domain name.
yourname.com	yourname.net	yourname.org
yourname.biz	yourname.info	yourname.me (additional cost)
yourname.us	yourname.mobi	yourname.ca (Canada)
yourname.OTHER (additional extensions) Enter the other TLD extensions you would like in the order you prefer

Enter your 2nd choice for the Domain Name you would like to register.*
yourname.com	yourname.net	yourname.org
yourname.biz	yourname.info	yourname.me (additional cost)
yourname.us	yourname.mobi	yourname.ca (Canada)
yourname.OTHER Enter the other extensions you would like in the order you prefer

Enter your 3rd choice for the Domain Name you would like to register.*
yourname.com	yourname.net	yourname.org
yourname.biz	yourname.info	yourname.me (additional cost)
yourname.us	yourname.mobi	yourname.ca (Canada)
yourname.OTHER Enter the other extensions you would like in the order you prefer

Domain Name Registration Contact Information
REGISTRANT CONTACT

* Required Fields

First Name *

Last Name *

Organization Name

Street Address *

Address 2

Job Title

City *

State/ Prov.*

Zip / Postal Code *

Country *

E-Mail Address *

Phone Number *

Fax Number

ADMINISTRATIVE CONTACT

If different from Registrant

Click to assign CHS as the contact - can be changed at anytime

First Name *

Last Name *

Organization Name

Street Address *

Address 2

Job Title

City *

State/ Prov.*

Zip/ Postal Code *

Country *

E-Mail Address *

Phone Number *

Fax Number

TECHNICAL CONTACT

If different from Registrant

Click to assign CHS as the contact - can be changed at anytime

First Name *

Last Name *

Organization Name

Street Address *

Address 2

Job Title

City *

State/ Prov.*

Zip/ Postal Code *

Country *

E-Mail Address *

Phone Number *

Fax Number

BILLING CONTACT

If different from Registrant

Click to assign CHS as the contact - can be changed at anytime

First Name *

Last Name *

Organization Name

Street Address *

Address 2

Job Title

City *

State/ Prov.*

Zip/ Postal Code *

Country *

E-Mail Address *

Phone Number *

Fax Number

CHS Enterprises

(209) 480-7350

info@chsent.info

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