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Request to Change Your Domain Name Information

Enter the domain name that you wish to change information on.



Please enter your e-mail address:

If you are changing the Administrative contact information, please enter the new information here:

Name
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
E-mail

If you are changing the Technical contact information, please enter the new information here:

Name
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
E-mail

If you are changing the Billing contact information, please enter the new information here:

Name
Title
Organization
Work Phone
FAX
E-mail

Below is your host's information. If you are moving to another web host provider, please enter your new name server information.

Please provide the following Primary Name Server information:

Name Server
IP Address

Please provide the following Secondary Name Server information:

Name Server
IP Address

Comments or other DNS info if needed.