FORM FOR CHANGING.VN REGISTRAR (Transfer Out)
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1 Fax: (858) : [email protected] Fax: (858) : [email protected] 1. Domain ( DN ) FORM FOR CHANGING.VN REGISTRAR (Transfer Out) Only one Domain request per Form All Transfer-out requests must use this the official Hi-Tek Form 2. Expiration 3. Registrant (DN s owner) of Owner Responsible Individual 4. Administrative Contact 5. Technical Contact 6. Billing Contact 7. Current Registrar of Current Registrar 8. Current Reseller of Current Reseller Hi-Tek Multimedia, Inc. (Dot VN, Inc.) [email protected] 9449 Balboa Avenue, Suite 103, San Diego, CA (858) / +(858) (if appropriate) Continued on next page Page 1 of 5
2 FORM FOR CHANGING.VN REGISTRAR (Transfer Out) continued 9. New Registrar of New Registrar 10. New Reseller of Current Reseller (if appropriate) Note: To complete the procedure for transferring the domain name, the owner has to fulfill all the following steps and submit the request to 1. The Domain expiration date must be more than 60 days after the date this request is submitted; if not the Domain registration must first be renewed for one (1) year. 2. Payment of the $100 USD transfer-out service cost by credit card and submission of the Hi- Tek/Dot VN Credit Card Payment Authorization Form must accompany this Transfer-Out request. 3. Submission of the official Hi-Tek/Dot VN Authorization for.vn Registrar Transfer-Out document must accompany this Transfer-Out request. 4. Agree to the termination of the service agreement and all responsibilities of the existing Registrar HI-TEK MULTIMEDIA, INC./., (and its Reseller) with respect to the Domain stated above. 5. This Form for Changing.VN Registrar and the Authorization for.vn Registrar Transfer-Out are valid for thirty (30) days from the date first signed by the registrant. 6. Confirm the accuracy of the information provided above by signing, dating, and affixing seal below. Registrant (domain name owner) Confirmed by Current Registrar Print /Title Print /Title Current Reseller (if appropriate) Page 2 of 5 Authorization Code Assigned by VNNIC
3 Fax: (858) : [email protected] Fax: (858) : [email protected] AUTHORIZATION FOR.VN REGISTRAR TRANSFER-OUT TO: HI-TEK MULTIMEDIA INC./., From: of Registrant: Proof of identity by attaching a copy of either a) Drivers License / Passport Number (individual only):, or b) Business License Number (business only): and name of authorized individual: : : Tel: Fax: I/we registered the.vn domain name:. on dated: and having an expiration date of: currently managed and renewed with HI-TEK/DOT VN or its Reseller ( ) I/we have authorized payment of the $100 USD transfer service cost by credit card and have attached the completed Hi-Tek/Dot VN Credit Card Payment Authorization Form with this Transfer-Out request. Now, I/we ask to transfer the domain name stated above to a new Registrar namely:.. 1. I/we guarantee for the Domain stated above which is requested to be transferred that: - There are no disputes and the Domain s use is in full compliance with the regulations of Vietnam regarding the use of the Internet and domain names until the date of the transfer request. - There are no outstanding financial obligations with HI-TEK/DOT VN or its Reseller - After receiving the signed Form for Changing.VN Registrar the service agreement with HI- TEK/DOT VN or its Reseller is automatically terminated with respect to the Domain stated above; if there is a subsequent request for services from HI-TEK/DOT VN or its Reseller, I/we will sign a new service agreement with HI-TEK/DOT VN or its Reseller. 2. I/we take full responsibility for my Domain upon the acceptance of HI-TEK/DOT VN by its signing and affixing its seal to the Form for Changing.VN Registrar. Page 3 of 5
4 Therefore, I/we would like HI-TEK/DOT VN to give its consent to transfer-out my Domain as requested above and documented on the Form for Changing.VN Registrar Yours Sincerely, Print Registrant (domain name owner) Note: To complete the procedure for transferring the domain name, the owner has to fulfill all the following steps and submit the request to 1. The Domain expiration date must be more than 60 days after the date this request is submitted; if not the Domain registration must first be renewed for one (1) year. 2. Payment of the $100 USD transfer-out service cost by credit card and submission of the Hi-Tek/Dot VN Credit Card Payment Authorization Form must accompany this Transfer-Out request. 3. This Authorization for.vn Registrar Transfer-Out document must accompany the official Hi- Tek/Dot VN Form for Changing.VN Registrar. 4. Agree to the termination of the service agreement and all responsibilities of the existing Registrar HI- TEK MULTIMEDIA, INC./., (and its Reseller) with respect to the Domain stated above. 5. This Authorization for.vn Registrar Transfer-Out and the Form for Changing.VN Registrar are valid for thirty (30) days from the date first signed by the registrant. 6. Confirm the accuracy of the information provided above by signing, dating, and affixing seal above. Page 4 of 5
5 Fax: (858) : [email protected] Fax: (858) : [email protected] CREDIT CARD PAYMENT AUTHORIZATION FORM I authorize. (DBA: HI-TEK MULTIMEDIA, INC.) at 9449 Balboa Ave., Suite 103, San Diego, CA to make one time charge to my credit card as described below: Customer Information: Registrant : Domain : Amount Authorized for transfer service cost: $ USD Card Billing Information: Cardholder : Billing : City, State, Zip: Country: Phone: Fax: : Account Type: Cardholder : Account Number: Expiration : CVV (3 digit number on back of Visa / MasterCard): Visa / MasterCard Only I authorize the above named supplier to charge the credit card indicated in this authorization form according to the terms outlined above. This payment authorization is for the goods/services described above, for the amount indicated above only, and is valid for one time use only. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company; so long as the transaction corresponds to the terms indicated in this form. Authorized Note: This authorization must accompany the official Hi-Tek/Dot VN Form for Changing.VN Registrar. Page 5 of 5
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