ICANN will soon be accepting applications for new TLDs. As a leading registry services provider, Afilias is interested in learning more about YOUR new TLD to help us determine how we can best work together. Please provide the information requested below and Afilias staff will review your new TLD idea and proposed partnership.

First Name: *

Last Name: *

Title: *

Company: *

Street Address:

Street Address:

City: *

State/Province:

Zip/Postal Code:

Country:

Phone where you may be reached: *

Email: *

What is your proposed TLD name(s) (e.g. .sport, .cloud, etc)?:

Why is your proposed TLD different and better than current TLDs?:

Who is the target audience for your new TLD and how big is it (who will register the names/how many entities might be interested in registering)? :

How many registrations do you expect in your new TLD?:

less than 1000

1000 – 10,000

10,000 -100,000

100,000 – 500,000

500,000 – 1,000,000

1,000,000 - 10,000,000

more than 10,000,000

If you expect more than 10,000,000 registrations, please specify the amount:

Which of the below best describes your prospective TLD(s) (check as many as apply)?:

Open TLD (open for anyone to register)

Corporate brand or identity (to be used only internally within the company)

Corporate brand or identity (to be open to public registration)

Community TLD (per ICANN definition)

Other

If you selected 'Other' above, please specify:

Which of the following best describes you as it pertains to your proposed TLD(s)?:

Entrepreneur / Investor

Community member (for the TLD you propose)

Community leader (for the TLD you propose)

Consultant

Corporate Decision maker (for the corporate TLD you propose)

Other

If you selected 'Other' above, please specify:

Which of the following best describes your familiarity with ICANN’s proceedings to date on new TLDs?:

I’m an expert—I have been following this closely

I have reviewed and understood the current version of the applicant guidebook

I have heard about the process and am interested

What stage is your planning now (check as many as apply)?:

We have a formal organization formed to apply

We already have the funding we expect to need

We have a concept and are seeking investors/partners

We need a technical services provider / partner

We are looking for a concept

What type of partnership are you seeking from Afilias (check as many as apply)?:

Investor

Technical provider

Consultant

Other

If you selected 'Other' above, please specify:

Use the space below to add any additional comments or questions::

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