Please read the instructions at the end of this form before filling it out. If you have any further questions, please see the US Domain web site at http://www.nic.us and review the Overview section. US DOMAIN TEMPLATE US Version: Dec 99 PLEASE DO NOT ALTER THIS APPLICATION IN ANY WAY. Send your .US registration to hostmaster@shrubbery.net. ***************************************************************** 1. REGISTRATION TYPE (N)ew (M)odify (D)elete..: 2. FULLY-QUALIFIED DOMAIN NAME: 3. ORGANIZATION INFORMATION 3a. Organization Name.....: 3b. Address Line 1........: 3b. Address Line 2........: 3c. City..................: 3d. State.................: 3e. Zip/Code..............: 4. DESCRIPTION OF ORG/DOMAIN: 5. Date Operational......: 6. ADMINISTRATIVE CONTACT OF ORG/DOMAIN 6b. Whole Name............: 6c. Organization Name.....: 6d. Address Line 1........: 6d. Address Line 2........: 6e. City..................: 6f. State.................: 6g. Zip/Code..............: 6h. Voice Phone...........: 6i. Electronic Mailbox....: 7. TECHNICAL AND ZONE CONTACT 7b. Whole Name............: 7c. Organization Name.....: 7d. Address Line 1........: 7d. Address Line 2........: 7e. City..................: 7f. State.................: 7g. Zip/Code..............: 7h. Voice Phone...........: 7i. Electronic Mailbox....: 7j. Registration Mailbox..: 7k. Fax Number............: 8. PRIMARY SERVER: HOSTNAME, NETADDRESS 8j. Hostname..............: 8k. IP Address............: 9. SECONDARY SERVER: HOSTNAME, NETADDRESS 9a. Hostname..............: 9b. IP Address............: ^L ************************************************************************** DISCLAIMER By the registration of your name on the Internet, the IANA, the InterNIC, Network Solutions Inc., the University of Southern California, and the National Science Foundation are accepting in good faith that you have the right to the use the name. The IANA and InterNIC/Network Solutions' function in registering names on the Internet is to assure that the name does not conflict with any other name in the name space requested. The user by its registration and use of the name and/or their continued use of an existing name, agrees, as part of their request for name registration, to indemnify and hold harmless from any and all costs, fees, expenses arising from litigation involving trademark, trade name, service mark, and any other name infringements, or other reasons, the IANA, the InterNIC, Network Solutions Inc., the University of Southern California, and the National Science Foundation. The party requesting registration of this name certifies that to her/his knowledge, the use of this name does not violate trademark or other statutes. It is assumed by the US Domain Administrator that every applicant for the delegation (or redelegation) of a locality name has the written agreement of the legitimate government for that locality for the applicant to manage the domain name of that locality. Registering a domain name does not confer any legal rights to that name and any disputes between parties over the rights to use a particular name are to be settled between the contending parties using normal legal methods (See RFC 1591). Domains must provide at least two independent servers that provide the domain service for translating names to addresses for hosts in this domain. Establishing the servers in physically separate locations and on different PSNs and/or networks is strongly recommended. If you are applying for a domain and a network number assignment simultaneously, and a host on your proposed network will be used as a server for the domain, you must wait until you receive your network number assigment and have given the server(s) a net-address before sending in the domain application. To apply for an IP address, contact your service provider or send a message to "hostmaster@internic.net". The US Domain Registry registers US Domain names only. *************************** CUT HERE ********************************** ^L INSTRUCTIONS FOR THE US DOMAIN TEMPLATE The US Domain Template may be sent to the US Domain Registrar (US-Domain@ISI.EDU) or the contact of a delegated zone. US Domain Registrar USC/Information Sciences Institute 4676 Admiralty Way, Marina del Rey, CA 90292 The list of delegated subdomains in each state for (K12, CC, TEC, STATE, LIB, MUS, GEN, DST, COG and localities) can be retrieved via WWW, and FTP. URL: ftp://isi.edu/in-notes/us-domain-delegated.txt OTHER TYPES OF REGISTRATIONS: To register domain names under COM, NET, and ORG see InterNIC's Accredited Registrar Directory: URL: http://rs.internic.net/ To register domain names under GOV send email to "registration@fed.gov" or retrieve information from: URL: http://www.nic.gov/ To get IP addresses, or register your IN-ADDR name, contact your service provider, or retrieve information from: URL: http://www.arin.net/arin_411.htm Please Note: All K12 schools, community colleges/technical schools, state and local governments are required to register under the US domain. Only four year universities are allowed to register under EDU. Only federal agencies are allowed under GOV. See RFC 1480, 1591 and 1816 for further details. RFCs RFC 1480 - THE US DOMAIN URL: ftp://ftp.isi.edu/in-notes/rfc1480.txt RFC 1591 - THE DOMAIN NAME SYSTEM STRUCTURE AND DELEGATION URL: ftp://ftp.isi.edu/in-notes/rfc1591.txt RFC 1811 - U.S. GOVERNMENT INTERNET DOMAIN NAMES URL: ftp://ftp.isi.edu/in-notes/rfc1811.txt *******************************************************************************8 ^L REGISTERING A NEW US DOMAIN NAME 1. REGISTRATION TYPE: NEW, MODIFICATION, or DELETION 2. FULLY-QUALIFIED DOMAIN NAME. This is the name that will be used in tables and lists associating the domain with the domain server addresses. See Naming Structure Table below. The following formats are accepted as a US Domain name. "www" should not be entered as part of the domain name. Domain Name Example: networthy.santa-clara.ca.us ============================================================================ TABLE: US DOMAIN NAMING STRUCTURE ============================================================================ Locality Names ...US City Government .CI...US County Government .CO...US Schools K12 Districts .K12..US K12 Schools ..K12..US Private .PVT.K12..US Private Opt. ...US Community Colleges .CC..US Technical Schools .TEC..US Library .LIB..US State Gov. .STATE..US GEN (statewide assoc.) .GEN..US Museums .MUS..US Councils of Gov. .COG..US DST (districts) .DST..US FED .FED.US NSN .NSN.US ISA (multi-state-gov.) .ISA.US ============================================================================ 3. THE NAME OF THE ENTITY REPRESENTED, (i.e., ORGANIZATION, LOCALITY, SCHOOL, etc., being named. The name that describes the Fully Qualified Domain Name that will be entered in the WHOIS database. For example: The Networthy Corporation, not the name of the Network Service Provider or organization submitting the request. 4. PLEASE DESCRIBE THE DOMAIN BRIEFLY. For example: The Networthy Corporation is a consulting organization of people working with UNIX and the C language in an electronic networking environment. It sponsors two technical conferences annually and distributes a bimonthly newsletter. 5. THE DATE YOU EXPECT THE DOMAIN TO BE FULLY OPERATIONAL. For every registration, we need BOTH the administrative and the technical contacts of a domain (questions 6 & 7) and we MUST have a network mailbox for each. Also enter the title, mailing address, phone number, organization, and network mailbox. 6. THE NAME OF THE ADMINISTRATIVE HEAD OF THE "ORGANIZATION". The Administrative Contact is the contact point for administrative and policy questions about the domain. The Administrative Contact should work closely with the personnel s/he has designated as the Technical Contact for the domain. That is, the Administrative Contact would be a person from the organization that is the ultimate user of the domain name, not a person from the organization running the nameserver. Specifically, when the organization using the domain name is a city government, the Administrative Contact must be a city government employee, not an employee of the service provider arranging the Internet connection for the city. It is assumed by the US Domain Registrar that every applicant for the delegation (or redelegation) of a locality name has the written agreement of the legitimate government for that locality for the applicant to manage the domain name of that locality. 7. THE NAME OF THE TECHNICAL AND ZONE CONTACT. The Technical Contact handles the technical aspects of maintaining the domain's name server and resolver software, and database files. S/he keeps the name server running. More than likely, s/he would be the technical contact running the primary nameserver. The REGISTRATION REQUEST MAILBOX (7j) is where domain name requests are mailed and processed for the delegated domain. Mailboxes names would be like: hostmaster, support, domreg. 8. PRIMARY SERVER. The complete host name of the primary server as well as the IP address. 9. SECONDARY SERVER.The complete host name of the secondary server as well as the IP address. Domains must provide at least two independent servers that provide the domain service for translating names to addresses for hosts in this domain. Establishing the servers in physically separate locations and on different PSNs and/or networks is strongly recommended. If you are applying for a domain and a network number assignment simultaneously, and a host on your proposed network will be used as a server for the domain, you must wait until you receive your network number assigment and have given the server(s) a network address before sending in the domain application. To apply for an IP address, contact your service provider; the US Domain registry registers US Domain names only. +=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+