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GKG.NET, INC. | Administrative Domain Changes Letter

Fill out this form and press print in your browser

Fax to:

GKG.NET, INC. • FAX: 281-617-5825

Used by the registrant of a domain to make a change to a domain. The letter must NOTARIZED.

Domain Information

Please provide your domain information in the appropriate fields below.

Reference ticket number:

I am the registrant of

as listed in the GKG Whois database. Please make the following changes to my domain:

Change the usernames associated with the domain from
to (New Username Must Already Exist!)

Change the Nameservers for the domain

SERVER FROM TO
Primary:

Secondary:

Attach seperate sheet for additional name server changes.

Change transfer lock status to:

Change parking configuration from
to
specify

Change email address associated with the domain from to

Change FTP password to:

Change Email password for email address:
To

Please charge the $15 administrative fee to my credit card
Credit Card Number:

Expiration date:

CVV: (3 digit number on the back of card.)

Name that appears on the credit card:

Billing Information

Address:

City: State: Zip:

X		Date:
Signature of Registrant or Authorized Agent of Registrant

Print Name:

Phone:

Email:

Notary: Sworn to and subscribed before me this ______ day of ____________________

Notary Signature: _______________________________________________________________

Please print this form, sign it and have it notarized. Include payment information and fax to:
281-617-5825

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