sm DomainPeople Inc.
Registrant Name Change Department
1440-555 West Hastings St.
Vancouver, B.C. Canada
V6B 4N6
Partner ID: "subbrand"
Domain Name: ______________________________________________________
DomainPeople administrative Password: _____________________________
With this form the Current Registrant relinquishes ownership of the domain listed above to the New
Registrant. Upon transfer of ownership the New Registrant will be responsible for all fees associated
with this domain listed above pursuant to Section 2 of the Registration Agreement located
http://www.domainpeople.com/users/terms_html
Current Registrant
Registrant: ______________________
Address: _______________________
Address: _______________________
City: __________________________
State/Province: __________________
Country: _______________________
Zip Code: ______________________
Phone: ________________________
Fax: __________________________
Email: _________________________
New Registrant
Registrant: _______________________
Address: ________________________
Address: ________________________
City: ___________________________
State/Province: ___________________
Country: ________________________
Zip Code: _______________________
Phone: __________________________
Fax: ____________________________
Email: __________________________
Payment Information: Total administrative Fees: $9.99 US
____ VISA ____ MasterCard ____ Amex _____ Certified Check
Credit Card Number: _________________________________
Expiration Date: _____________
Name on Card _________________________________________________
I hereby authrize DomainPeople, Inc to charge $9.99 US administrative fees for RNCA.
Authorized Cardholder Signature:
_________________________________________________
The New Registrant accepts and agrees to be bound by the registration Agreement located at
http://www.domainpeople.com/users/terms_html and Dispute Policy located at
http://www.domainpeople.com/users/dispute_html
(This MUST be signed and titled by both Current Registrant and New Registrant.)
Current Registrant:
Name:__________________________
Date__________________________
Signature:__________________________
New Registrant:
Name:__________________________
Date__________________________
Signature:__________________________
NOTARY
County of: _____________________ State of: ______________________
The foregoing instrument was signed before me by _____________________________ on this
date.
Notary's name (printed): _________________________________________
Notary's signature: ____________________________________________
Date of Notarization: ____________________________________
My commission expires: ___________________________________