Registrant Name Change Agreement Version 3.0 – Legal Name Change
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Registrant Name Change Agreement Version 3.0 Legal Name Change
Send this Agreement via fax to:
Network Solutions, Inc.
Attn: Registrant Change Group
Priority Service: fax (703) 464-4861
Standard Service: fax (703) 742-6950
Registrant Name Change Agreement
Version 3.0 Legal Name Change
General Information
To successfully complete this form, you will need the WHOIS record for the domain name. The WHOIS database can be
found at URL http://www.networksolutions.com.
Be sure all fields are completed in full.
Once this form is complete, verify the information, read it, sign it, and date it.
The signor of this form must have the apparent authority to legally bind the Registrant and must sign this form in the
presence of a Notary Public. The Notary Public is required to notarize this form
Make a copy of the Agreement for your records, then fax it to Network Solutions at the appropriate number as shown above.
Or, if this domain name is the subject of litigation or a trademark dispute, send this Agreement to Network Solutions via fax
at (703) 742-6950 or via postal mail to: 505 Huntmar Park Drive, Attention: Legal, Herndon VA 20170. Fax preferred.
Domain Name
One per Registrant Name Change Agreement
____ I choose the Priority Registrant Name
Change Service. My RNCA will be processed in
2 business days.* I'll send this form via fax to
(703) 464-4861.
____ I choose the Standard Registrant Name Change
Service. My RNCA will be processed in 3 to 6 weeks. I'll
send this form via fax to (703) 742-6950.
Choose your Service
Level
*For $199 per domain name change, we will process your Registrant Transfer and Legal Name Change in two
business days after receiving a complete and correct Registrant Name Change Agreement. The two-business
day turnaround for Priority Registrant Name Change Service is contingent upon NSI receiving complete and
correct requests by 3:00 PM Eastern Standard Time each business day. Priority Service requests received after
3:00PM will be processed beginning on the next business day. To speak with a dedicated Priority RNCA
representative, dial 1-877-379-3532 from the U.S. and Canada. Internationally, call +1 (703) 834-0433.
Representatives are available from 9AM to 9PM Monday through Friday, Eastern Time.
Change the
Registrants Name
from:
As per the WHOIS record (URL http://www.networksolutions.com)
Change the
Registrants Name
to:
Enter the new name of the Registrant
Enter the Registrants Street Address, City, State, Country and ZIP if applicable
Registrants Address
If the address you have entered above is different than the WHOIS record
(URL http://www.networksolutions.com), please explain below
[ ]Corporation
[ ]Partnership
[ ]Limited Partnership
Type of Business
[ ]Sole Proprietorship
[ ] Other (specify)
Terms and
Conditions
a. Registrant represents that its name currently and inaccurately appears on Network Solutions' registration records for the
above-referenced domain name
b. Registrant acknowledges and reaffirms the terms and conditions of its Domain Name Registration Agreement or Service
Agreement (including Network Solutions' Domain Name Dispute Policy) with Network Solutions for the above-referenced
domain name.
c. The undersigned represents and warrants that he or she is authorized to make this request on behalf of the Registrant.
d. Network Solutions' acceptance of this request will occur only if and when Network Solutions posts the changed name on
the publicly available WHOIS database located at the URL: http://www.networksolutions.com.
e. Network Solutions' acceptance of this request accomplishes a change of name only and all rights and obligations of
Network Solutions and of the Registrant under the Domain Name Registration Agreement or Service Agreement for the
above-referenced domain name are unaffected by this change.
f. Upon Network Solutions' acceptance of this request, the Domain Name Registration Agreement or Service Agreement for
the above-referenced domain name is amended by substituting the Registrant's requested name for the Registrant's original
name wherever it appears in the Domain Name Registration Agreement or Service Agreement.
The undersigned represents and warrants that he/she possesses the authority to legally bind the
current registrant of the domain name being modified as per the Registrant Name Change
Agreement.
Signature
Name (print)
Signature block
Organization
Phone Number
Active e-mail address
Date
Notarization
A notary public or its foreign equivalent must certify the Current Registrants signature.
County of:__________________________________________________________
State of:____________________________________________________________
The foregoing instrument was signed before me by the person whose name appears
in the Signature Block.
Notarys Name (printed):_______________________________________________
Notarys Signature:___________________________________________________
Date of notarization:___________________________________________________
My commission expires:_______________________________________________
If I selected the Priority Registrant Name Change Service Level, above, I agree to pay Network Solutions US$199.00
per transaction. Below is my credit card information for this transaction. I understand that Network Solutions can only
accept checks or money orders for more than US$2000.00. Checks for this amount or more will be drawn on a U.S.
bank and made payable to Network Solutions.
I will fax this form to (703) 464-4861.
Credit Card Type
Credit Card Number
Expiration Date
Cardholder Name (printed)
Card Holder Street Address
City, State, Zip Code
Cardholder Signature
Today's Date
Cardholder's Daytime Phone
Number
______________________________
______________________________
______________________________
______________________________
______________________________
______________________________
______________________________
______________________________
______________________________
Did you remember to:
* Have your document signed by someone with the ability to legally bind your organization? For an
organization, this includes people with titles such as CEO, Owner and President.
* Make sure the domain name registration is in a paid status? If not, check the payment status now on our home
page at www.networksolutions.com. From this page, select Make Payments, then choose Make Payment for Your
New Domain Name. Enter your domain name and click OK.
* Have the current registrant's signature witnessed by a Notary Public? The signature dates for the current
registrant and the Notary Public must match.