Complete the Order Form Below for your Domain Appraisal and Listing
Your Personal Data is protected with our strict privacy rules

*First Domain Name:
 

*Does this domain/s include a website: Yes No

Is your website of a commercial nature and trading?: Yes No

Continue here for a triple appraisal, Otherwise leave blank. and move onto Q2

*Second Domain Name:
 

*Does this domain/s include a website: Yes No

Is your website of a commercial nature and trading?: Yes No

*Third Domain Name:
 

*Does this domain/s include a website: Yes No

Is your website of a commercial nature and trading?: Yes No

Q2 Are you the Owner of this domain and other domains you may submit on this form?
Yes No
If not we will need to contact you. for example you may be acting as an Agent,
Solicitor in probate or on behalf of Family or Friend.

If not the owner please give details:

Q3 How many Unique visits does your site receive per month?
None Up to 100 Up to 500 Up to 1000 Up to 2000 Up to 5000 Up to 10000 Over 10000

Q4 Does your site generate revenue? if Yes, can you give an approx figure, otherwise leave blank.

Q5 Do you require a Free listing or Appraisal only.
Please Select List with Appraisal Appraisal Only
If you only require an Appraisal and do not wish your domain to be listed then please go straight to Q13

Q6 Do you wish to offer a Rent/Lease option?:
Please Select No Yes

Q7 Approx monthly Rental (Include an amount or just put Offers).

Q8 Do you have a suggested selling price? if Yes, what is your Price? otherwise leave blank.

Q9 Select your selling Option:
Price Only Price and Offers Invited Offers Only

Q10 Do you want us to act as broker?
No Yes

Q11 Your Preferred Currency:
US Dollar Euro UK Pound Sterling

Q12 Are you open to Offers? (We recommend yes to this option)
Yes No

Q13 First Name:
 

Q14 Last Name:
 

Q15 Company (If Applicable):

Q16 Address:
 

Q17 Phone:
  

Q17 E-mail:
 

Q18 Street:
 

Q19 City:
 

Q20 Postcode/Zip:

Information about this domain/s, like traffic, Current or Previous Offers, or if you are buying a domain the current selling price etc. Just leave blank if you do not have additional information.

If you ordered a triple appraisal you can list up to 50 domains on a multi listing for FREE. Please List below. For example: mydomain.com

Do you wish to make your payment via Invoice or   (Payment with paypal for immediate processing. Payment by invoice will take longer for your appraisal)
Please Select Paypal Invoice

Please insert security number in the box below

 

I have read and understand the Terms & Conditions:
Yes No

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