World Net: SSL Certificate Order Form

SSL Certificates Order Form

CONTACT INFORMATION

Please insert information on how to contact you. This may or may not be the same information as the actual owner of the domain in which the certificate will be assigned.

Only EXISTING customers, or customers whom would like a certificate and planning our having their domain hosted on our networks may apply for a certificate.

Name:*
Company Name:	E-Mail Address:*

Phone Number:*	Home/Cell Number (Alternate):

* denotes required information.

SSL CERTIFICATE DOMAIN INFORMATION

Please enter in the information about the domain in which the certificate is going to be applied.

If you have multiple domains, you must choose which domain will have the certificate assigned to it.

Please fill out this section with the name of the actual owner of the domain.

To see who is listed as the owner of a domain, visit Better WhoIs and type in your domain name and read the information provided.

Owners Name:*
Company Name:*	E-Mail Address:*

Address:*	City:*
State/Province:*	Zip:* Country:*

Phone Number:*	Home/Cell Number (Alternate):

Domain Name:*
SSL Certificate:*

* denotes required information.

IMPORTANT INFORMATION

Please read the following carefully.

In order to receive a certificate, the SSL issuing company (Trustwave, XRamp, Verisign, etc.) must verify the authenticity of your domain, organization and/or company.

The domain you are requesting an SSL certificate for MUST match the ownership of the domain information which you filled out above. If you don't actually OWN your domain, and it's registered in another company's name or that information is invalid/old/outdated, you MUST update it first with your domain registrar. Until the actual domain information is correct and factual, a SSL certificate cannot be successfully issued.

You may be required to fax into the registrar SOME of the following information:

Legal documents of proof of corporation (Articles of Incorporation, DBA, Certificate of Formation, Partnership Papers, etc.)
US Tax Licenses (For Non-Profit Organizations and Sole Proprietors)
VAT Certificates (International)

This information, if necessary, will be requested by the SSL issuing company and not World Net. This information is reviewed by the SSL issuing company on a case-by-case basis and they will request information from you directly as they require it.

COMMENTS / INSTRUCTIONS

Please place any desired comments, instructions or suggestions below :