The Transfer Out Form!

HI-TEK MULTIMEDIA, INC
DOT VN, INC
9449 Balboa Ave., Suite 103, San Diego, CA 92123 - USA
Fax: (858) 571-8497
Email: [email protected]
Website: www.Hi-TekMultimedia.com
9449 Balboa Ave., Suite 103, San Diego, CA 92123 - USA
Fax: (858) 571-8497
Email: [email protected]
Website: www.DotVN.com
FORM FOR CHANGING .VN REGISTRAR
(Transfer – Out)
1. Domain Name (“DN”)
Only one Domain Name request per Form – All Transfer-out requests must use this the official Hi-Tek Form
2. Expiration Date
3. Registrant (DN’s owner)
Name of Owner
Responsible Individual
Email
Address
Tel / Fax
4. Administrative Contact
Name
Email
Address
Tel / Fax
5. Technical Contact
Name
Email
Address
Tel / Fax
6. Billing Contact
Name
Email
Address
Tel / Fax
7. Current Registrar
Name of Current Registrar
Email
Address
Tel / Fax
8. Current Reseller
Hi-Tek Multimedia, Inc. (Dot VN, Inc.)
[email protected]
9449 Balboa Avenue, Suite 103, San Diego, CA 92123
+(858) 571-2007 / +(858) 571-8497
(if appropriate)
Name of Current Reseller
Email
Continued on next page
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FORM FOR CHANGING .VN REGISTRAR
(Transfer – Out)
continued
9. New Registrar
Name of New Registrar
Email
Address
Tel / Fax
10. New Reseller
(if appropriate)
Name of Current Reseller
Email
Note:
1.
2.
3.
4.
5.
6.
To complete the procedure for transferring the domain name, the owner has to fulfill all
the following steps and submit the request to [email protected]:
The Domain Name expiration date must be more than 60 days after the date this request is
submitted; if not the Domain Name registration must first be renewed for one (1) year.
Payment of the $100 USD transfer-out service cost by credit card and submission of the HiTek/Dot VN “Credit Card Payment Authorization Form” must accompany this Transfer-Out
request.
Submission of the official Hi-Tek/Dot VN “Authorization for .VN Registrar Transfer-Out”
document must accompany this Transfer-Out request.
Agree to the termination of the service agreement and all responsibilities of the existing Registrar
HI-TEK MULTIMEDIA, INC./DOT VN, INC., (and its Reseller) with respect to the Domain
Name stated above.
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.
Confirm the accuracy of the information provided above by signing, dating, and affixing seal
below.
Registrant (domain name owner)
Confirmed by Current Registrar
Name
Signature
Print Name/Title
Date
Affix Seal
Current Reseller (if appropriate)
Name
Signature
Print Name/Title
Date
Affix Seal
Authorization Code Assigned by VNNIC
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HI-TEK MULTIMEDIA, INC
DOT VN, INC
9449 Balboa Ave., Suite 103, San Diego, CA 92123 - USA
Fax: (858) 571-8497
Email: [email protected]
Website: www.Hi-TekMultimedia.com
9449 Balboa Ave., Suite 103, San Diego, CA 92123 - USA
Fax: (858) 571-8497
Email: [email protected]
Website: www.DotVN.com
AUTHORIZATION FOR .VN REGISTRAR TRANSFER-OUT
TO:
HI-TEK MULTIMEDIA INC./DOT VN, INC.,
From: Name 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: …………………………………………………………
Email Address: …………………………………………………………………………………………
Address: …………………………………………………………………………………………………
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 Name stated above which is requested to be transferred that:
- There are no disputes and the Domain Name’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 HITEK/DOT VN or its Reseller is automatically terminated with respect to the Domain Name
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 Name upon the acceptance of HI-TEK/DOT VN by its
signing and affixing its seal to the “Form for Changing .VN Registrar”.
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Therefore, I/we would like HI-TEK/DOT VN to give its consent to transfer-out my Domain Name as
requested above and documented on the “Form for Changing .VN Registrar”
Yours Sincerely,
Registrant (domain name owner)
Signature
Print Name
Date
Affix Seal
Note:
1.
2.
3.
4.
5.
6.
To complete the procedure for transferring the domain name, the owner has to fulfill all the
following steps and submit the request to [email protected]:
The Domain Name expiration date must be more than 60 days after the date this request is submitted;
if not the Domain Name registration must first be renewed for one (1) year.
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.
This “Authorization for .VN Registrar Transfer-Out” document must accompany the official HiTek/Dot VN “Form for Changing .VN Registrar”.
Agree to the termination of the service agreement and all responsibilities of the existing Registrar HITEK MULTIMEDIA, INC./DOT VN, INC., (and its Reseller) with respect to the Domain Name
stated above.
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.
Confirm the accuracy of the information provided above by signing, dating, and affixing seal above.
Page 4 of 5
HI-TEK MULTIMEDIA, INC
DOT VN, INC
9449 Balboa Ave., Suite 103, San Diego, CA 92123 - USA
Fax: (858) 571-8497
Email: [email protected]
Website: www.Hi-TekMultimedia.com
9449 Balboa Ave., Suite 103, San Diego, CA 92123 - USA
Fax: (858) 571-8497
Email: [email protected]
Website: www.DotVN.com
CREDIT CARD PAYMENT AUTHORIZATION FORM
I authorize DOT VN, INC. (DBA: HI-TEK MULTIMEDIA, INC.) at 9449 Balboa Ave., Suite 103, San
Diego, CA 92123 to make one time charge to my credit card as described below:
Customer Information:
Registrant Name:
Domain Name:
Amount Authorized for
transfer service cost:
$100.00 USD
Card Billing Information:
Cardholder Name:
Billing Address:
City, State, Zip:
Country:
Phone:
Fax:
Email:
Visa / MasterCard Only
Account Type:
Cardholder Name:
Account Number:
Expiration Date:
CVV (3 digit number on back
of Visa / MasterCard):
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 Signature
Date
Note: This authorization must accompany the official Hi-Tek/Dot VN “Form for Changing .VN
Registrar”.
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