Domeinnaam aanvraagformulier

Alle velden zijn verplicht, behalve die waar "optioneel" staat.

Informatie over uw domeinnaam

{{errorMessages.status.required}} {{errorMessages.status.pattern}} {{errorMessages.status.pattern}} {{errorMessages.status.pattern}} {{errorMessages.status}} {{errorMessages.status.pattern}}
domeinnaam.be {{errorMessages.domainName.required}} {{errorMessages.domainName.pattern}} {{errorMessages.domainName.pattern}} {{errorMessages.domainName.pattern}} {{errorMessages.domainName}} {{errorMessages.domainName.pattern}}
{{errorMessages.importAuthorisationCode.required}} {{errorMessages.importAuthorisationCode.pattern}} {{errorMessages.importAuthorisationCode.pattern}} {{errorMessages.importAuthorisationCode.pattern}} {{errorMessages.importAuthorisationCode}} {{errorMessages.importAuthorisationCode.pattern}}

Uw informatie

{{errorMessages.custid.required}} {{errorMessages.custid.pattern}} {{errorMessages.custid.pattern}} {{errorMessages.custid.pattern}} {{errorMessages.custid}} {{errorMessages.custid.pattern}}
{{errorMessages.landline.required}} {{errorMessages.landline.pattern}} {{errorMessages.landline.pattern}} {{errorMessages.landline.pattern}} {{errorMessages.landline}} {{errorMessages.landline.pattern}}

Klantgegevens

{{errorMessages.company.required}} {{errorMessages.company.pattern}} {{errorMessages.company.pattern}} {{errorMessages.company.pattern}} {{errorMessages.company}} {{errorMessages.company.pattern}}
{{errorMessages.firstname.required}} {{errorMessages.firstname.pattern}} {{errorMessages.firstname.pattern}} {{errorMessages.firstname.pattern}} {{errorMessages.firstname}} {{errorMessages.firstname.pattern}}
{{errorMessages.name.required}} {{errorMessages.name.pattern}} {{errorMessages.name.pattern}} {{errorMessages.name.pattern}} {{errorMessages.name}} {{errorMessages.name.pattern}}
{{errorMessages.address.required}} {{errorMessages.address.pattern}} {{errorMessages.address.pattern}} {{errorMessages.address.pattern}} {{errorMessages.address}} {{errorMessages.address.pattern}}
{{errorMessages.zipcode.required}} {{errorMessages.zipcode.pattern}} {{errorMessages.zipcode.pattern}} {{errorMessages.zipcode.pattern}} {{errorMessages.zipcode}} {{errorMessages.zipcode.pattern}}
{{errorMessages.city.required}} {{errorMessages.city.pattern}} {{errorMessages.city.pattern}} {{errorMessages.city.pattern}} {{errorMessages.city}} {{errorMessages.city.pattern}}
{{errorMessages.vat.required}} {{errorMessages.vat.pattern}} {{errorMessages.vat.pattern}} {{errorMessages.vat.pattern}} {{errorMessages.vat}} {{errorMessages.vat.pattern}}
ex: 0475000000 {{errorMessages.mobile.required}} {{errorMessages.mobile.pattern}} {{errorMessages.mobile.pattern}} {{errorMessages.mobile.pattern}} {{errorMessages.mobile}} {{errorMessages.mobile.pattern}}
{{errorMessages.email.required}} {{errorMessages.email.pattern}} {{errorMessages.email.pattern}} {{errorMessages.email.pattern}} {{errorMessages.email}} {{errorMessages.email.pattern}}

Configuratie

Hieronder kan u de configuratie van uw domeinnaam kiezen. U kunt deze instelling later wijzigen. Als u niet zeker bent, kan u kiezen voor de standaard configuratie.

{{errorMessages.configuration.required}} {{errorMessages.configuration.pattern}}
mail.mijndomein.be {{errorMessages.mailservername.required}} {{errorMessages.mailservername.pattern}} {{errorMessages.mailservername.pattern}} {{errorMessages.mailservername.pattern}} {{errorMessages.mailservername}} {{errorMessages.mailservername.pattern}}
{{errorMessages.ipmailserver.required}} {{errorMessages.ipmailserver.pattern}} {{errorMessages.ipmailserver.pattern}} {{errorMessages.ipmailserver.pattern}} {{errorMessages.ipmailserver}} {{errorMessages.ipmailserver.pattern}}
webserver.mydomain.ltd {{errorMessages.webservername.required}} {{errorMessages.webservername.pattern}} {{errorMessages.webservername.pattern}} {{errorMessages.webservername.pattern}} {{errorMessages.webservername}} {{errorMessages.webservername.pattern}}
{{errorMessages.ipwebserver.required}} {{errorMessages.ipwebserver.pattern}} {{errorMessages.ipwebserver.pattern}} {{errorMessages.ipwebserver.pattern}} {{errorMessages.ipwebserver}} {{errorMessages.ipwebserver.pattern}}
{{errorMessages.connexion.required}} {{errorMessages.connexion.pattern}}
{{errorMessages.dnscloud.required}} {{errorMessages.dnscloud.pattern}} {{errorMessages.dnscloud.pattern}} {{errorMessages.dnscloud.pattern}} {{errorMessages.dnscloud}} {{errorMessages.dnscloud.pattern}}
{{errorMessages.dnsmicrosoft.required}} {{errorMessages.dnsmicrosoft.pattern}} {{errorMessages.dnsmicrosoft.pattern}} {{errorMessages.dnsmicrosoft.pattern}} {{errorMessages.dnsmicrosoft}} {{errorMessages.dnsmicrosoft.pattern}}
{{errorMessages.dnsskynet.required}} {{errorMessages.dnsskynet.pattern}} {{errorMessages.dnsskynet.pattern}} {{errorMessages.dnsskynet.pattern}} {{errorMessages.dnsskynet}} {{errorMessages.dnsskynet.pattern}}

Hosting tarieven

{{errorMessages.hosting.required}} {{errorMessages.hosting.pattern}}
{{errorMessages.hostingwindows.required}} {{errorMessages.hostingwindows.pattern}}
{{errorMessages.hostinglinux.required}} {{errorMessages.hostinglinux.pattern}}

Ontdek onze hosting tarieven voor Windows hier

Ik verklaar kennis te hebben genomen van de algemene voorwaarden¹ en de specifieke voorwaarden²..
{{errorMessages.agreement.required}} {{errorMessages.agreement.pattern}}

Bovenop de algemene voorwaarden van Proximus gelden ook volgende specifieke voorwaarden.

Even geduld, je gegevens worden verwerkt

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