To request initiation or modification of DLS DNS services, please fill out the following form completely. Please see the DNS Policy page before filling out this form. Fields with * are required for processing. Note that you can CC yourself on this mail, so that you may receive a copy of your submission.

Once submitted, your order will be submitted to our sales department and you will be contacted regarding your request.

FROM:	(Your E-Mail)*
TO:	DLS Internet support Team
CC:
SUBJECT:	Customer DNS Request

1. Contact Information:
Contact Name:	*
Company Name:	*
Contact's Phone #:	*
Contact Hours:
2. Your Account Information:
DLS Customer Account #:	*
3. DNS Information:
DLS Provided Service Type:	Primary Secondary
Zone:	New Existing
Domain name or Zone: (please enter one domain per request form)

4. Effective Date:
All e-mail configuration requests will be responded to within 36 hours of receipt by DLS
(mm/dd/yyyy)
5. Setup Reverse DNS:
Yes No Delegate If "Yes" please provide yor PTR and/or further details in the comments section. If "Delegate" please provide your name server addresses responsible for your Zone resolutions.
6. Additional Comments: