Please complete all applicable blanks on this form including contact information , Domain Name and Offer Amount in US Dollars. Upon completion please please the SUBMIT button.
Contact_FirstName: Thomas
Contact_LastName: Chapman
Contact_Title: Director
Contact_Organization: AMI
Contact_StreetAddress: 1644 W Forest Ave
Contact_Address2: Ste 1
Contact_City: Decatur
Contact_State: IL
Contact_ZipCode: 62522
Contact_Country: United States
Contact_Phone: 217-521-3284
Contact_FAX:
Contact_Email: tom@feedtheneedy.com
Questions:
Domain_DomainName: tom.com
Offer_OfferAmount: 5000
Contact_FirstName: Shen
Contact_LastName: Shirley
Contact_Title: BD Executive
Contact_Organization: Allegis-BN
Contact_StreetAddress: 88 Qingchi Road
Contact_Address2: Changning Area
Contact_City: Shanghai
Contact_State: Shanghai
Contact_ZipCode: 200053
Contact_Country: China
Contact_Phone: 13616517311
Contact_FAX:
Contact_Email: Shirleyshen924@hotmail.com
Questions:
Domain_DomainName: automobilelottery.com
Offer_OfferAmount: 1000
Contact_FirstName: Leroy
Contact_LastName: Spang
Contact_Title: Tribal Chairman
Contact_Organization: Northern Cheyenne Fitness Program
Contact_StreetAddress: 600 Eaglefeather Dr
Contact_Address2:
Contact_City: Lame Deer
Contact_State: MT
Contact_ZipCode: 59043
Contact_Country: USA
Contact_Phone: 406-477-6284
Contact_FAX: 406-477-6201
Contact_Email: lspang@cheyennenation.net
Questions:
Domain_DomainName: www.fitness4u.com
Offer_OfferAmount: 1200.00
Contact_FirstName: zaid
Contact_LastName: gebi
Contact_Title: mr
Contact_Organization:
Contact_StreetAddress: 184
Contact_Address2: savile road
Contact_City: dewsbury
Contact_State: west yorkshire
Contact_ZipCode: wf12 9ns
Contact_Country: England
Contact_Phone: 07807697380
Contact_FAX:
Contact_Email: zaidgebi@gmail.com
Questions:
Domain_DomainName: footballnow.com
Offer_OfferAmount: 500.00
Contact_FirstName: gigolo
Contact_LastName: afghan
Contact_Title: sex
Contact_Organization: hs
Contact_StreetAddress: haydnplatz
Contact_Address2: gghg
Contact_City: siegendorf city
Contact_State: us und a
Contact_ZipCode: 70011
Contact_Country: manhatten
Contact_Phone: 065010508
Contact_FAX: 75
Contact_Email: arschfick
Questions: dfhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhmko lmüä
Domain_DomainName: elvira gruber
Offer_OfferAmount: 100000000000
Contact_FirstName: chika
Contact_LastName: ugo
Contact_Title: any
Contact_Organization: life time ministr
Contact_StreetAddress: 64 uba obais world bank aba
Contact_Address2: 64uba obais world bank aba
Contact_City: abia
Contact_State: aba
Contact_ZipCode: 23480
Contact_Country: nigeria
Contact_Phone: 08069300657
Contact_FAX: 08025291085
Contact_Email: chika_ugo@yahoo.com
Questions: i want to be a member
Domain_DomainName: chiukwudi ugo
Offer_OfferAmount: 25000