ADMINISTRATIVE CONTACT Name: Voice: E-Mail:
TECHNICAL CONTACT Name: Voice Phone: E-Mail: Fax Number:
NAME SERVER Information Primary Name Primary IP Secondary Name Secondary IP
Internet Assigned Numbers Authority c/o Internet Corporation for Assigned Names and Numbers 4676 Admiralty Way, Suite 330 Marina del Rey, CA 90292 +1.310.823-8649 FAX
All servers will be checked before delegations are made. Please allow at least 3 business weeks from the day we receive your complete documentation for processing.