order

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DOMAIN ORDER FORM Domain Name requested:

www.Rsharqah.com

Name: Designation: Organization (Company Name): P.O.Box: Postal Code: City:

Joseph Constantine Managing Director Saudi Prodigies advertisingagency 301335 Riyadh 11372 Riyadh

E-Mail Address: (receives renewal reminders) Phone # Fax # Hosting Platform: Hosting Plan: Shell Name: Password:

Mohammad@SaudiProdigies.com +966 56 9093333 +966 (1) 216 8759 Windows Small business Prodigies_rsharqah

:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ______ ________

Rsharqah2012


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