Support form

For support, please fill out the form below.

Please note that you will need to answer a simple mathematical question, this procedure is necessary to ensure that the form has been completed by an actual person and not an automated program.

Please enter your first name, a valid first name can contain alphabetic characters, apostrophes and dashes.
e.g.: John
Please enter your last name, a valid last name can contain alphabetic characters, apostrophes dashes and spaces.
e.g.: Doe
Please enter your phone number in the following format. If you specify an extension number, please precede it with an "x".
e.g.: 999-999-9999 or 999-999-9999x999
Please enter your phone number in the following format. If you specify an extension number, please precede it with an "x".
e.g.: 999-999-9999 or 999-999-9999x999
Please enter a domain name in the following format.
e.g.: example.com
Please enter your email address in the following format.
e.g.: example@example.com
Please enter a question that contains at least 10 characters.
To ensure that the form is completed by and actual person and not an automated program, please answer the following mathematical question.

e.g.: example.com
The domain name you entered contains invalid characters.

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CIRA Registrar
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