Colocation Sign Up Form

You may use the MonkeyBrains DNS servers. Edit your Internic record to use the following servers: 
   Primary:   NS1.MONKEYBRAINS.NET	208.69.40.3     
   Primary:   NS2.MONKEYBRAINS.NET    69.22.154.3
   Secondary: NS.MONKEYBRAINS.NET          66.92.9.56
[If you have not yet reserved you domain name, please use Joker.com]
Desired Username
First and Last Name
Street Address
City
State
Zip
Phone
(Optional)
Call me during the: daytime evening
Existing email
Your Computer System
(out of curiosity)
Notes
Account Type ( Basic ) ( Hosting ) ( Colocation )
Recommened by:
If Monkey, please enter their email:
(They will get a free month of service)