Homepage Hosting & Domain Name Registration Order Form

Owner Details

Establishment / Owner Name: _____________________________

Establishment Owner/manager:_____________________________

ID Type : ------------   Number:                       (Copy of document is required)

Commercial Registration (For Business Only): 

Address: …………………………………………

For non Yemenis, a commercial guarantee is required

Other Teleyemen Services                             

Hosting Packages

I/We have read and understood Teleyemen Terms & Conditions for Homepage Hosting & Domain Name Registration  and have accepted them.

Customer Name: .............................................             Signature:..................................................

Company Name: ............................................              Stamp                          Date:     /    /

For Teleyemen use only

Username allocated :

Initial Password :

Service Number:                                                           Account number:

Branch                                     Salesman                      Date:    /     /                 Stamp