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Registry Operator/Sponsor Name

Affiliation

  • Primary Contact Name
  • Primary Contact Mailing Address
  • Primary Contact Phone Number
  • Primary Contact Mobile Number
  • Primary Contact Fax Number
  • Primary Contact Email Address


  • Secondary Contact Name
  • Secondary Contact Mailing Address
  • Secondary Contact Phone Number
  • Secondary Contact Mobile Number
  • Secondary Contact Fax Number
  • Secondary Contact Email Address

Backend Technical Service Provider (if applicable)

  • Primary Contact Name
  • Primary Contact Mailing Address
  • Primary Contact Phone Number
  • Primary Contact Mobile Number
  • Primary Contact Fax Number
  • Primary Contact Email Address


  • Secondary Contact Name
  • Secondary Contact Mailing Address
  • Secondary Contact Phone Number
  • Secondary Contact Mobile Number
  • Secondary Contact Fax Number
  • Secondary Contact Email Address

Data Escrow Agent Name

  • Primary Contact Name
  • Primary Contact Mailing Address
  • Primary Contact Phone Number
  • Primary Contact Mobile Number
  • Primary Contact Fax Number
  • Primary Contact Email Address


  • Secondary Contact Name
  • Secondary Contact Mailing Address
  • Secondary Contact Phone Number
  • Secondary Contact Mobile Number
  • Secondary Contact Fax Number
  • Secondary Contact Email Address

Technical Contact

  • Primary Contact Name
  • Primary Contact Mailing Address
  • Primary Contact Phone Number
  • Primary Contact Mobile Number
  • Primary Contact Fax Number
  • Primary Contact Email Address

Legal Contact

  • Primary Contact Name
  • Primary Contact Mailing Address
  • Primary Contact Phone Number
  • Primary Contact Mobile Number
  • Primary Contact Fax Number
  • Primary Contact Email Address

Media/Communications Contact

  • Primary Contact Name
  • Primary Contact Mailing Address
  • Primary Contact Phone Number
  • Primary Contact Mobile Number
  • Primary Contact Fax Number
  • Primary Contact Email Address

Billing/Financial Contact

  • Primary Contact Name
  • Primary Contact Mailing Address
  • Primary Contact Phone Number
  • Primary Contact Mobile Number
  • Primary Contact Fax Number
  • Primary Contact Email Address


  • Secondary Contact Name
  • Secondary Contact Mailing Address
  • Secondary Contact Phone Number
  • Secondary Contact Mobile Number
  • Secondary Contact Fax Number
  • Secondary Contact Email Address

24x7 Emergency Contact - Escalation 1

  • Contact Name
  • Contact Mailing Address
  • Contact Phone Number
  • Contact Mobile Number
  • Contact Fax Number
  • Contact Email Address

24x7 Emergency Contact - Escalation 2

  • Contact Name
  • Contact Mailing Address
  • Contact Phone Number
  • Contact Mobile Number
  • Contact Fax Number
  • Contact Email Address

24x7 Emergency Contact - Escalation 3

  • Contact Name
  • Contact Mailing Address
  • Contact Phone Number
  • Contact Mobile Number
  • Contact Fax Number
  • Contact Email Address

CZDS Contact (if other than Technical Contact)

  • Primary Contact Name
  • Primary Contact Mailing Address
  • Primary Contact Phone Number
  • Primary Contact Mobile Number
  • Primary Contact Fax Number
  • Primary Contact Email Address


  • Secondary Contact Name
  • Secondary Contact Mailing Address
  • Secondary Contact Phone Number
  • Secondary Contact Mobile Number
  • Secondary Contact Fax Number
  • Secondary Contact Email Address

TMDB Contact

  • Contact Name
  • Contact Mailing Address
  • Contact Phone Number
  • Contact Mobile Number
  • Contact Fax Number
  • Contact Email Address

Abuse Contact

  • Contact Name
  • Contact Mailing Address
  • Contact Phone Number
  • Contact Mobile Number
  • Contact Fax Number
  • Contact Email Address

Compliance - Escalation 1

  • Contact Name
  • Contact Mailing Address
  • Contact Phone Number
  • Contact Mobile Number
  • Contact Fax Number
  • Contact Email Address

Compliance - Escalation 2

  • Contact Name
  • Contact Mailing Address
  • Contact Phone Number
  • Contact Mobile Number
  • Contact Fax Number
  • Contact Email Address

Compliance - Escalation 3

  • Contact Name
  • Contact Mailing Address
  • Contact Phone Number
  • Contact Mobile Number
  • Contact Fax Number
  • Contact Email Address

Compliance - Breach

  • Contact Name
  • Contact Mailing Address
  • Contact Phone Number
  • Contact Mobile Number
  • Contact Fax Number
  • Contact Email Address

URS - Registry Operator

  • Contact Name
  • Contact Mailing Address
  • Contact Phone Number
  • Contact Mobile Number
  • Contact Fax Number
  • Contact Email Address

URS - Backend Technical Service Provider

  • Contact Name
  • Contact Mailing Address
  • Contact Phone Number
  • Contact Mobile Number
  • Contact Fax Number
  • Contact Email Address