Organization acquiring the Domain Name
Organization name
(Registered/Incorporated name on your BR or relevant documents)
Address
Administrative contact information Administrative Contact is the person representing the organization regarding use of the name
Name (Last, First)
Organization name
Address
Phone number
Fax number
Email address
Billing contact information The billing contact will receive invoices for fees related to the domain name (Please fill in if different from Administrative Contact inforamtion above)
Name (Last, First)
Organization name
Address
Phone number
Fax number
Email address
Technical contact information The technical contact is the person who tends to the technical aspects of maintaining the domains name servers. Your ISP often performs this role
Name (Last, First)
Organization name
Address
Country
Phone number
Fax number
Email address
Name servers information
Primary name server
Host name
IP address
Or use Handle (for Service Partner ONLY)
Handle ID
Secondary name server
Host name
IP address
Or use Handle (for Service Partner ONLY)
Handled ID