Please read the instructions at the end of this form before filling it out. If you have any further questions, please see the US Domain web site at https://www.about.us/locality-structure and the .US wikipedia article at https://en.wikipedia.org/wiki/.us for more history. US DOMAIN TEMPLATE (Prairie.net modern variant) US Version: June 2026 PLEASE DO NOT ALTER THIS APPLICATION IN ANY WAY. Send your .US registration to hostmaster@prairie.net. ***************************************************************** 1. REGISTRATION TYPE (N)ew (M)odify (D)elete..: 2. FULLY-QUALIFIED DOMAIN NAME: 3. ORGANIZATION INFORMATION 3a. Organization Name.....: 3b. Address Line 1........: 3b. Address Line 2........: 3c. City..................: 3d. State.................: 3e. Zip Code..............: 4. DESCRIPTION OF ORG/DOMAIN: 5. Date Operational......: 6. ADMINISTRATIVE CONTACT OF ORG/DOMAIN 6b. Whole Name............: 6c. Organization Name.....: 6d. Address Line 1........: 6d. Address Line 2........: 6e. City..................: 6f. State.................: 6g. Zip Code..............: 6h. Voice Phone...........: 6i. Electronic Mailbox....: 7. TECHNICAL AND ZONE CONTACT 7b. Whole Name............: 7c. Organization Name.....: 7d. Address Line 1........: 7d. Address Line 2........: 7e. City..................: 7f. State.................: 7g. Zip Code..............: 7h. Voice Phone...........: 7i. Electronic Mailbox....: 7j. Registration Mailbox..: 7k. Mobile Number.........: 8. PRIMARY SERVER: HOSTNAME, NETADDRESS 8j. Hostname..............: 8k. IPv4 Address..........: 8l. IPv6 Address..........: 9. SECONDARY SERVER: HOSTNAME, NETADDRESS 9a. Hostname..............: 9b. IPv4 Address..........: 9c. IPv6 Address..........: ^L ************************************************************************** DISCLAIMER By the registration of your name on the Internet, the .US Registry Operator (GoDaddy Registry / About.us) and the National Telecommunications and Information Administration (NTIA) of the U.S. Department of Commerce are accepting in good faith that you have the right to use the name. The .US Registry Operator's function in registering names on the Internet is to assure that the name does not conflict with any other name in the namespace requested. The user, by its registration and use of the name and/or their continued use of an existing name, agrees, as part of their request for name registration, to indemnify and hold harmless from any and all costs, fees, and expenses arising from litigation involving trademark, trade name, service mark, and any other name infringements, or other reasons, the .US Registry Operator, and the National Telecommunications and Information Administration (NTIA). The party requesting registration of this name certifies that to her/his/their knowledge, the use of this name does not violate trademark or other statutes. It is assumed by the .US Domain Administrator that every applicant for the delegation (or redelegation) of a locality name has the written agreement of the legitimate government for that locality for the applicant to manage the domain name of that locality. Registering a domain name does not confer any legal rights to that name. Any disputes between parties over the rights to use a particular name are to be settled between the contending parties using standard dispute resolution policies (such as the .us Dispute Resolution Policy) or normal legal methods. Domains must provide at least two independent authoritative name servers that provide the domain service for translating names to IP addresses for hosts in this domain. Establishing the servers in physically separate locations and on different networks or Autonomous Systems (ASNs) is strongly recommended. To apply for an IP address block, contact your Internet Service Provider (ISP) or the American Registry for Internet Numbers (ARIN) at arin.net. The .US Domain Registry registers .US Domain names only. *************************** CUT HERE ********************************** ^L INSTRUCTIONS FOR THE US DOMAIN TEMPLATE The .US Domain registration requests and management are handled online via the official .US Registry website (about.us) or through ICANN-accredited registrars supporting .US domain extensions. .US Domain Registry GoDaddy Registry (.US Registry Operator) Website: about.us The list of delegated locality and specialized subdomains (such as k12.tx.us, lib.mi.us, or local city/county domains) and their current management status can be retrieved via the official .US Registry website. OTHER TYPES OF REGISTRATIONS: To register generic domain names under .com, .net, and .org, use any ICANN-accredited registrar. A complete list can be found at: URL: icann.org/en/accredited-registrars To register official U.S. government domain names under .gov (available to federal, state, local, and tribal government entities), submit applications through the Cybersecurity and Infrastructure Security Agency (CISA): URL: get.gov To register community college or higher education domain names under .edu, manage applications through EDUCAUSE: URL: net.educause.edu/edudomain To obtain IP address blocks or register your reverse DNS (IN-ADDR.ARPA), contact your Internet Service Provider (ISP) or the American Registry for Internet Numbers (ARIN): URL: arin.net Please Note: The historical restrictions requiring all K–12 schools, community colleges, and local governments to register exclusively under the .us locality structure have been relaxed. While the .us locality space remains active, these entities are now also eligible for .gov (for state/local governments), .edu (for accredited post-secondary institutions), or generic TLDs like .com or .org. Federal agencies remain strictly limited to .gov. Only accredited post-secondary institutions are permitted under .edu. Policy References: * .US Nexus Requirements and Policies: about.us/policies * RFC 1591 (Historical DNS Structure): datatracker.ietf.org/doc/html/rfc1591 * Official .GOV Domain Eligibility: get.gov/eligibility/ ******************************************************************************* ^L REGISTERING A NEW US DOMAIN NAME 1. REGISTRATION TYPE: NEW, MODIFICATION, or DELETION 2. FULLY-QUALIFIED DOMAIN NAME. This is the name that will be used in tables and lists associating the domain with the domain server addresses. See Naming Structure Table below. The following formats are accepted as a US Domain name. "www" should not be entered as part of the domain name. Domain Name Example: networthy.santa-clara.ca.us ============================================================================ TABLE: US DOMAIN NAMING STRUCTURE ============================================================================ Locality Names ...US City Government .CI...US County Government .CO...US Schools K12 Districts .K12..US K12 Schools ..K12..US Private .PVT.K12..US Private Opt. ...US Community Colleges .CC..US Technical Schools .TEC..US Library .LIB..US State Gov. .STATE..US GEN (statewide assoc.) .GEN..US Museums .MUS..US Councils of Gov. .COG..US DST (districts) .DST..US FED .FED.US NSN .NSN.US ISA (multi-state-gov.) .ISA.US ============================================================================ 3. THE NAME OF THE ENTITY REPRESENTED, (i.e., ORGANIZATION, LOCALITY, SCHOOL, etc., being named. The name that describes the Fully Qualified Domain Name that will be entered in the WHOIS database. For example: The Networthy Corporation, not the name of the Network Service Provider or organization submitting the request. 4. PLEASE DESCRIBE THE DOMAIN BRIEFLY. For example: The Networthy Corporation is a consulting organization of people working with UNIX and the C language in an electronic networking environment. It sponsors two technical conferences annually and distributes a bimonthly newsletter. 5. THE DATE YOU EXPECT THE DOMAIN TO BE FULLY OPERATIONAL. For every registration, we need BOTH the administrative and the technical contacts of a domain (questions 6 & 7) and we MUST have a network mailbox for each. Also enter the title, mailing address, phone number, organization, and network mailbox. 6. THE NAME OF THE ADMINISTRATIVE HEAD OF THE "ORGANIZATION". The Administrative Contact is the contact point for administrative and policy questions about the domain. The Administrative Contact should work closely with the personnel s/he has designated as the Technical Contact for the domain. That is, the Administrative Contact would be a person from the organization that is the ultimate user of the domain name, not a person from the organization running the nameserver. Specifically, when the organization using the domain name is a city government, the Administrative Contact must be a city government employee, not an employee of the service provider arranging the Internet connection for the city. It is assumed by the US Domain Registrar that every applicant for the delegation (or redelegation) of a locality name has the written agreement of the legitimate government for that locality for the applicant to manage the domain name of that locality. 7. THE NAME OF THE TECHNICAL AND ZONE CONTACT. The Technical Contact handles the technical aspects of maintaining the domain's name server and resolver software, and database files. S/he keeps the name server running. More than likely, s/he would be the technical contact running the primary nameserver. The REGISTRATION REQUEST MAILBOX (7j) is where domain name requests are mailed and processed for the delegated domain. Mailboxes names would be like: hostmaster, support, domreg. 8. PRIMARY SERVER. The complete host name of the primary server as well as the IP address. 9. SECONDARY SERVER.The complete host name of the secondary server as well as the IP address. Domains must provide at least two independent servers that provide the domain service for translating names to addresses for hosts in this domain. Establishing the servers in physically separate locations and on different PSNs and/or networks is strongly recommended. If you are applying for a domain and a network number assignment simultaneously, and a host on your proposed network will be used as a server for the domain, you must wait until you receive your network number assigment and have given the server(s) a network address before sending in the domain application. To apply for an IP address, contact your service provider; the US Domain registry registers US Domain names only. +=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+