Homepage Hosting & Domain Name Registration Order Form

Owner Details

Owner Type 

 

Person

 

Company

 

Government

 

 

 

 

Org. or    Embassy

 

Education

 

Others   -----------------------------

Establishment / Owner Name: _____________________________

Establishment Owner/manager:_____________________________

ID Type : ------------   Number:                       (Copy of document is required)

Commercial Registration (For Business Only): 

Address: …………………………………………

For non Yemenis, a commercial guarantee is required

 

Other Teleyemen Services                             

IDD Numbers

Mobile Tel.

Ynet Username

 
 
 
 
 
 

Hosting Packages

 

e-mail Addresses

 

Virtual Domain with (        ) e-mails

 

Native Domain with  (        ) e-mails

 
 
 

 

Domain Name Address” URL”      www. .............................................

FTP Password      ……………………..                            

Please protect your password

I/We have read and understood Teleyemen Terms & Conditions for Homepage Hosting & Domain Name Registration  and have accepted them.

Customer Name: .............................................             Signature:..................................................

Company Name: ............................................              Stamp                          Date:     /    /


For Teleyemen use only

Deposit paid by:

 

Cash

 

Check

Receipt No: ..........................

Sponsorship letter:

 

Letter from place of work

 

Guardian Letter

Username allocated :

Initial Password :

Service Number:                                                           Account number:

 

Branch                                     Salesman                      Date:    /     /                 Stamp