Compusolve Internet Services

Field	Value
Domain name		Required
Organisation:-
Street address
Town/City
County/State
Postal/Zip code
Country
Admin. contact:-
Name
Organisation name
Street address
Town/City
County/State
Postal/Zip code
Country
Phone number
Fax number
Email		Required
Billing contact:-
Name
Organisation name
Street address
Town/City
County/State
Postal/Zip code
Country
Phone number
Fax number
Email
Name servers:-
Primary server hostname
Primary server IP address
Secondary server hostname
Secondary server IP address

Note: some fields eg. Organisation name and tag holder you cannot change with this form.
Please email support@compusolve.co.uk for further information.