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Domain Modification Form
(* REQUIRED FIELDS)
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*Requester's Email
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| 2. |
*Domain Name
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Organization Using Domain Name
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| 3a. |
*Organization name
(registrant):
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| 3b. |
*Street Address:
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| 3c. |
*City:
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| 3d. |
*State/County/Province:
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| 3e. |
*Postal Code:
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| 3f. |
*Country:
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Administrative Contact
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| 4a. |
Nic Handle (If Known):
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| 4b. |
*Individual Role:
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| 4c. |
*Name Last:
First:
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| 4d. |
*Organization Name:
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| 4e. |
*Street Address:
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| 4f. |
*City:
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| 4g. |
*State/County/Province:
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| 4h. |
*Postal Code:
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| 4i. |
* Country:
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| 4j. |
*Phone Number:
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| 4k. |
Fax number:
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| 4l. |
*E-Mail Address:
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| 5a. |
*Nic Handle (If Known):
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| 5b. |
*Individual Role:
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| 5c. |
*Name Last:
First:
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| 5d. |
*Organization Name:
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| 5e. |
*Street Address:
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| 5f. |
*City:
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| 5g. |
*State/County/Province:
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| 5h. |
*Postal Code:
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| 5i. |
* Country:
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| 5j. |
*Phone Number:
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| 5k. |
Fax number:
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| 5l. |
*E-Mail Address:
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| 6a. |
Nic Handle (If Known):
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| 6b. |
*Individual Role:
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| 6c. |
*Name Last:
First:
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| 6d. |
*Organization Name:
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| 6e. |
*Street Address:
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| 6f. |
*City:
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| 6g. |
*State/County/Province:
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| 6h. |
*Postal Code:
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| 6i. |
* Country:
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| 6j. |
*Phone Number:
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| 6k. |
Fax number:
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| 6l. |
*E-Mail Address:
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Primary Name Server
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| 7a. |
*Primary Server Hostname:
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ex: ns1.nic.vi |
| 7b. |
*Primary Server Netaddress:
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ex:123.123.123.123 |
Secondary Name Server
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| 8a. |
*Secondary Server
HostName:
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ex: ns2.nic.vi |
| 8b. |
*Secondary Server
Netaddress:
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ex:123.123.123.123 |
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| 1. |
Comments:
255 characters max
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I have read, understand and agree to the Domain
Rules and Dispute
Policy |
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If you would prefer
to use our old method to moify a domain
the Domain Modification Template is available here.
To download the template right click link and save to disk.
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