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<table border=1 align=center width=550>


  <tr bgcolor=#90c0ff>
    <th align=center colspan=2><font size=+1>Add Domain to Existing CA Registrant</font>
    </th>
  </tr>

  <tr bgcolor=#e0e0e0>
    <td colspan=2 align=center>
      <b> Registrant Number: </b>
      <input type=text name=rant_no value="<tmpl_var rant_no>" size=30>
<font size=-1 font color="red"><br><i>The Registrant Number is NOT the CIRA User Account Number.<br><br><font color="blue"> If you do not know the Registrant Number,
you can obtain it from the <a href="http://whois.cira.ca/public?whois=whois&LANGUE=en&WHOIS=Informations&domaine=" target=whois>CIRA
WHOIS</a> by looking up an existing domain name, or you may log into <a href="https://registrants.cira.ca/user">CIRA's Confirmation Site</a> with your CIRA User Account Number and CIRA password to obtain the value. <br><br>The order will
not be submitted to CIRA until the admin contact approves the order
request. </i></font><br>
    </td>
  </tr>

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  <tr bgcolor=#90c0ff>
    <th align=center colspan=2><font size=+1>DNS Information</font></th>
  </tr>

  <tr bgcolor=#e0e0e0>
    <td align=right><b><TMPL_IF error_fqdn1><font color=red><blink>*</blink></font></TMPL_IF> First DNS Hostname:</b></td>
    <td><input type=text name=fqdn1 value="<TMPL_VAR ESCAPE=HTML fqdn1>" size=30></td>
  </tr>

  <tr bgcolor=#e0e0e0>
    <td align=right><b><TMPL_IF error_fqdn2><font color=red><blink>*</blink></font></TMPL_IF> Second DNS Hostname:</b></td>
    <td><input type=text name=fqdn2 value="<TMPL_VAR ESCAPE=HTML fqdn2>" size=30></td>
  </tr>

  <tr bgcolor=#e0e0e0>
    <td align=right><font color=red size=-1>*optional* </font><b>Third DNS Hostname:</b></td>
    <td><input type=text name=fqdn3 value="<TMPL_VAR ESCAPE=HTML fqdn3>" size=30></td>
  </tr>

  <tr bgcolor=#e0e0e0>
    <td align=right><font color=red size=-1>*optional* </font><b>Fourth DNS Hostname:</b></td>
    <td><input type=text name=fqdn4 value="<TMPL_VAR ESCAPE=HTML fqdn4>" size=30></td>
  </tr>

  <tr bgcolor=#e0e0e0>
    <td align=right><font color=red size=-1>*optional* </font><b>Fifth DNS Hostname:</b></td>
    <td><input type=text name=fqdn5 value="<TMPL_VAR ESCAPE=HTML fqdn5>" size=30></td>
  </tr>

  <tr bgcolor=#e0e0e0>
    <td align=right><font color=red size=-1>*optional* </font><b>Sixth DNS Hostname:</b></td>
    <td><input type=text name=fqdn6 value="<TMPL_VAR ESCAPE=HTML fqdn6>" size=30></td>
  </tr>
  </TMPL_IF>


  <tr bgcolor=#90c0ff>
    <th align=center colspan=2><font size=+1>Domain Name Security</font></th>
  </tr>

  <tr bgcolor=#e0e0e0>
    <td align=center colspan=2><font size=-1 font color="blue"><i>A domain must be part of an OpenSRS profile. You may add this
      domain to an existing profile. Alternatively, if you do not already have an
      OpenSRS profile you may create a new one. Creating a new profile is easy.</font></i><br>
      <br>
      <input type=radio name=existing_profile value="1" checked> <b>Add</b> this domain to an existing OpenSRS profile
      <br>
      <input type=radio name=existing_profile value="0" > <b>Create</b> a new OpenSRS profile for this domain
    </td>
  </tr>

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    <td colspan=2>
    <table cellspacing=0 cellpadding=2 width=100%>
      <tr>
        <td align=left>
          <input type=submit value=" Next ">
	</td>
        <td align=right>
          <input type="hidden" name="action" value="link_ca_domain2">
          <input type=submit name="back" value=" Back ">&nbsp;
        </td>
      </tr>
    </table>
    </td>
  </tr>
</table>
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