Domain Registration Form cog.tx.us

Revised: 2006-Jul-6

This form is for use only by the Councils of Government of Texas. This form must be completed as part of the process for registering a domain name in the COG.TX.US domain.

Privacy Statement: The cog.tx.us Domain Registry Service is operated by the Texas Department of Information Resources, Telecommunications Division. This web page complies with the DIR Privacy Policy (pdf). Please note that domain and net number contact information is considered public information and therefore may be published.

To register a domain name in COG.TX.US, please provide the following information. You must supply the host name and IP address of at least two and up to three nameservers. All items indicated with bold type are required information. If you do not provide all this information, your request will be rejected when it is submitted. The nameservers you list must be operational, reachable from the Internet, and answering queries for the domain in question before you submit this form or your request will be rejected when it is processed.

This form asks for quite a bit of information. However, some of it may be repetitive in your case (for example, the Technical Contact and Requester may be the same person, or they may work for the same organization). In order to keep you from having to enter the same information over and over again in different sections of the form, there are check boxes and pop-up menus throughout the form that allow you to reference previously entered information. Please read the instructions carefully and use these shortcuts as appropriate. These shortcuts are all transitive. In other words, if you indicate that the Primary Nameserver Contact is the same as the Technical Contact and then indicate that the Secondary Nameserver Contact is the same as the Primary Nameserver Contact, then this will do what you expect: namely making the Techical Contact and both Nameserver Contacts all the same.

1. Operation To Perform

Choose the type of operation you wish to perform. You can either register a new domain, modify the information associated with an existing domain, or delete a previously created domain. If you modify an existing domain, the information you provide here will completely replace the existing information.

Operation:

2. Domain Name

Provide the name of the domain to register. All Councils of Government should register their domain names as xxx.cog.tx.us, where xxx is some reasonable abbreviation of the agency's name.

Domain Name: .cog.tx.us

3. Agency Information

Provide the name, postal address, city, and ZIP code of the agency represented by this domain.

Name of Council:

Postal Address:

City: State: TX ZIP Code:

4. Technical Contact

Provide the name, electronic mail address, telephone number, and organization name of the technical contact for this domain. This person is responsible for resolving technical problems associated with the domain and for updating information about the domain. The technical contact may also be responsible for hosts within this domain.

If the technical contact works for the agency listed above, indicate this in the checkbox and leave the agency name field blank.

Last Name:

First Name:

E-mail Address:

Telephone Number:

Technical Contact works for the agency listed above. If this button is checked, the following field will be ignored.

Name of Council:

5. Primary Nameserver Information

Provide the host name and IP address of the primary nameserver for this domain. The host name you provide must be a fully qualified domain name, such as merlin.texan.state.tx.us, not a simple name like merlin. Also provide the name, e-mail address, and telephone number of the person who operates this nameserver. If this person is the same as the Technical Contact listed above, click the checkbox and leave the contact information blank.

The nameserver you list below must be operational, reachable from the Internet, and serving the domain in question at the time you submit this form. We do not take in-advance requests for domain delegation. If the nameserver you list is not operational, not reachable, or is not serving the domain in question then your request will be rejected.

Primary Nameserver Host Name:

Primary Nameserver IP Address:

Primary Nameserver Contact Information:

Same as Technical Contact. If this button is checked, the rest of this section will be ignored.

Last Name:

First Name:

E-mail Address:

Telephone Number:

6. Secondary Nameserver Information

Provide the fully qualified host name and IP address of the secondary nameserver for this domain. Also provide the name, e-mail address, and telephone number of the person who operates this nameserver. If this nameserver is operated by the same person who operates the primary nameserver, click the checkbox and leave the contact information blank.

Secondary Nameserver Host Name:

Secondary Nameserver IP Address:

Secondary Nameserver Contact Information:

Same as Primary Nameserver. If this button is checked, the rest of this section will be ignored.

Last Name:

First Name:

E-mail Address:

Telephone Number:

7. Secondary Nameserver #2 Information

If you wish to register a third nameserver for your domain, provide its information here. You are not required to provide more than two nameservers for your domain, so this information is not required. However, providing a third nameserver for your domain does increase its reliability, so do not hesitate to provide a third nameserver if you have the resources to do so. We will register additional nameservers if you have them. Please send a separate email to the registration email address listed below.

The nameservers you list below must be operational, reachable from the Internet, and serving the domain in question at the time you submit this form. We do not take in-advance requests for domain delegation. If the nameserver you list is not operational, not reachable, or is not serving the domain in question then your request will be rejected.

If you are providing only two nameservers then leave this section blank. Otherwise, provide the fully qualified host name and IP address of the secondary nameserver for this domain. Also provide the name, e-mail address, and telephone number of the person who operates this nameserver. If this nameserver is operated either by the same person who operates the primary nameserver or the first secondary nameserver as specified above, indicate this on the pop-up menu and leave the contact information blank. Otherwise, select given below from the menu and fill in the information.

Secondary Nameserver #2 Host Name:

Secondary Nameserver #2 IP Address:

Secondary Nameserver #2 Contact Information:

Contact Information is:

Last Name:

First Name:

E-mail Address:

Telephone Number:

8. Requester Information

Provide the name, electronic mail address, and telephone number of the person submitting this form. This means you, the person reading these words. If you are the Technical Contact listed above, click the checbox and leave the rest of this section blank.

Important: The electronic mail address you provide here (or in the Technical Contact section above, depending on what you indicate in the checkbox below), will be used to send you a copy of your request. Be sure you enter a valid e-mail address which is currently operational. Do not enter an e-mail address which will not work at the time you submit this form, even if you you expect it to work later. If you provide an invalid e-mail address then your request will not be processed and you will receive no notifcation! We must have a valid e-mail address in order to contact you.

Same as Technical Contact. If this button is checked, the rest of this section will be ignored.

Last Name:

First Name:

E-mail Address:

Telephone Number:

9. Optional Comments

Please let us know any additional information that you think is relevant for your domain request operation.

To submit your request, press this button:

To clear the form, press this button:

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CAPnet Registrar, CAPnet Domain Registrar Texas Department of Information Resources, Telecommunication Services Division.

Name of Council:
Postal Address:
City:	State: TX ZIP Code:

Last Name:
First Name:
E-mail Address:
Telephone Number:

Primary Nameserver Host Name:
Primary Nameserver IP Address:

Secondary Nameserver Host Name:
Secondary Nameserver IP Address:

Secondary Nameserver #2 Host Name:
Secondary Nameserver #2 IP Address:

	Contact Information is:

	Last Name:
	First Name:
	E-mail Address:
	Telephone Number:

To submit your request, press this button:
To clear the form, press this button: