Replace a Username
Authorization Form

You are NOT listed as a contact for the domain
You ARE an authorized member of the domains' organization

Please complete, print, and then fax this document once it has been signed and (if possible) notarized to:

GKG.NET, INC. • FAX: 281-617-5825

Important: This document must be signed by one of the contacts associated with this domain, and with authorization from the Registrant to make this change. If the Registrant is a business or organization as noted in the Organization Field, then this document must be signed by someone authorized to sign on behalf of the Business or Organization.

Authorization to Change Contact Information

Please review all of your information in this document before you print it
(you may change up to 5 domains at one time with this form)

Support Ticket No. (RT#):

Domain #1:

Domain #2:

Domain #3:

Domain #4:

Domain #5:

Contact type you want to change:

GKG Username Now:

New GKG Username:

I am authorized to make these changes on behalf of the Organization named as Registrant of these domains, as it is listed in the whois database located at this address:

GKG.NET Whois

Or if no Organization is listed, I have the authorization to make these changes on behalf of the contact person listed as the Registrant of these domains.

I authorize GKG.NET representatives to charge the $15.00 administrative fee to this 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

With this signature I authorize GKG.NET, INC to charge the $15.00 administrative fee to my credit card in order to process this document. I affirm that I have the authorization of the Registrant of these domains to make these changes. I also understand that administrative fees are non-refundable. I understand and agree to follow the GKG.NET Services Agreement found at this link:

Services Agreement

I understand that by initiating this change there is the possibility of having these domains kept in a state of "Registrar Lock" for up to one year, at the full discretion of GKG.NET personnel, for protection against fraud.

Please print this document after filling out all of the proper fields, signing it, and confirming the signature with a Notary Public (if possible), and fax it to this number in the US: 281-617-5825