Denish.net - New Reseller Application

New Reseller Request
Name
E-mail
Organization
Web-site	(your existing website, if any)
Postal Address
Country
Phone
Fax
Years in Business
Initial Orders	(number of new domains/sites you will order initially)
Expected orders in a month	(number of new domains/sites you expect each month)
Deposit	(Tick if willing to make an initial deposit to avail Instant Activation)
Comments
I Agree with the Denish Policy for web hosting services We are unable to process your application unless you click on the "I agree with the Denish Policy"