AMS Domain Name Renewal

Use this form to renew a domain name registered by AMS Computer Services.

Domain Name to Renew:
Years to Renew:
Name:
E-mail Address:
Address:
City:
State:
Zip Code:
Country:
Telephone:
Payment Information
Stated Price:	19.95 - USD
Payment Type:

Credit Card Number:	CVC:
Credit Card Expiration:
Name on Card:
Street Address of Cardholder:
Zip Code of Cardholder:
Comments or Special Instructions

THIS CHARGE IS NON-REFUNDABLE!