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Transfer Form

 

Transfer Form

Domains:

Please indicate the Domain names you want Transferred to 10-Domains.com from your current Registrar.



Username and Password:

Please include a Username and Password for your account.

Note:  In the event that the Username is already taken by another registered user, 10-Domains.com will choose one on behalf of the client. Usernames and Passwords must be between 6 and 12 characters long.

Username:______________________ Password: _____________

Billing Information

Please write the Credit Card information to which you would like the charges for the Domain name Transfer to be applied to. There is a cost of $10 per Domain per year for the Transfer.  Please complete all information exactly as it appears on your Credit Card Billing statement.

First and Last Name:_____________________________________

Address: _______________________________________________

City: _____________________________________ State:________

Zip Code:_________________ Country: ____________________

Telephone: _______________________ eMail: ______________

Credit Card:   AmEx   Visa   Master Card Discover

Number:                                                Exp.Date:                 

Signature:                                                          

 

Please FAX to the following number:

(713) 344-0671

 

or

Mail to:

10-Domains.com
5444 Westheimer Rd Ste 1585
Houston, TX 77056
USA

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