Fillable Instructions for Domain Name Service Request Form ( OTM -39) (11/06) - doa louisiana

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Instructions for Domain Name Service Request Form (OTM-39) (11/06) Date: Date the form is submitted. Site Information Name of Organization: Agency requesting the service. Address: Organization's physical address. Name of Administrative or Onsite Administrative or onsite contact. Contact: Email: Email address of the administrative or onsite contact. Phone: Telephone number of the administrative or onsite contact.....
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