DomainRegistry.com Inc.
Domain Renewal Form

****** DomainRegistry.com Renewal Form VERSION 8/01 1.5 *******
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Use this secure encrypted form to renew a domain name, or to transfer registrar to DomainRegistry.com Inc. The cost to renew a domain name is only $30 per year per name. You may use this form to renew domain names that were originally registered through DomainRegistry.com Inc., or through another registrar. Note: If you use of this form to renew a domain name registered through another registrar, DomainRegistry.com Inc. will become the registrar of record for that domain name. There is no additional charge for doing this (other than the $30 renewal charge per name of course).

You can complete this form at any time, that is, whether your domain is set to expire or not, since renewing the domain name will simply extend the current expiration date.

It is generally best to complete this form online. But if you prefer, and if you are paying by credit card, you may printout this form and fax to: 215-244-6605, Attn: "Domain Name Coordinator".

Other Payment Options: If you do not have a credit card, or would like to use a check or money order, please complete the form (leaving the credit card section empty) and put the following in the "comments" section: "Payment to follow by: (check or money order)". Then, simply mail or overnight your form and payment to: DomainRegistry.com Inc. 3554 Hulmeville Road, Suite 108, Bensalem PA 19020 - Attn: Renewal Coordinator

If you have questions about completing this form, you may e-mail us at: syshelp45@DomainRegistry.com, call us at: 215-244-6700, or fax us at: 215-244-6605.

Renewals are normally processed 7 days a week.

*******Section One*************************
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Please list below the domain name or names that you want to renew.


Each domain name renewal will cost $30 for 1 year. Please refer to pricing below for additional years. You may renew your domain name for up to 10 years for a cost as low as $15 per year.
1)
2)
3)
4)
5)

If you are renewing more than 5 names, please list them in the space below:

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*******Section Two*************************
Todays Date:   

Your First Name:
Your Last Name:
Company/Organization
(Registrant) Name:
Address:
Address:
City:
State:
Zip or Postal Code:
Country (if Not US):
Phone:
Fax:
E-Mail:

Important: If you didn't originally register the above
domain name(s) through DomainRegistry.com Inc,
please type (in the space below) a password that you will remember
so that we may authenticate you if needed:


Your company's product, service, or a description of your organization:

If you are not already a DomainRegistry.com Inc. customer, how did you hear about us? (Be specific. If a newspaper, magazine, website, which one?)

Action Requested Is:


Place comments below:

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*******Section Three***********************

By submitting this renewal form, you acknowledge, accept, and agree, that you understand the following:
  1. Domain Name Registrations are always subject to ICANN rules, and applicable trademark law, as well as the current ICANN Uniform Domain Name Dispute Resolution Policy.
  2. Registrant agrees that by renewal or registration of a domain name, such registration or renewal does not confer immunity from objection to either the registration, or use of the domain name, and, Registrant agrees that if the registration of its domain name is challenged by any third party, the Registrant will be subject to the provisions specified in the ICANN Uniform Domain Name Dispute Resolution Policy.
  3. Terms, conditions, and pricing are subject to change.
  4. Renewals are subject to the terms and conditions contained in our service agreement.
  5. Unless you specify otherwise in the "comments" section above, your renewal will be for a term of 1 year. You will receive an invoice (normally by e-mail) prior to the expiration, for (future) renewals of your domain name(s).

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*******Section Four ***********************
Please Place your credit card information below: This is for our charge of $30 per name per year with a 1 year minimum. (Charges are not refundable.) If you prefer, you may pay by check or money order (please see the instructions at the top of this form).

Type of Card:
(MC / Visa / AMX / Discover)
Cardholder Name:
Credit Card Number:
Credit Card
Expiration Date:
Cardholder Phone Number:
Cardholder Email Address:
Billing Address
of Cardholder:
(The billing address is where the credit card statement is mailed. You must supply a full address and zip code or foreign postal code.
Note: If the credit card billing address is the same as the information that you listed for the name registrations you can write "same".)
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By clicking on the submit button below, you signify that you agree to the terms and conditions listed in our service agreement.
Note: You should receive an email confirming receipt of your renewal request within 24 to 72 hours.
 

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DomainRegistry.com, Inc.
3554 Hulmeville Road - Suite 108 - Bensalem PA 19020
Phone - 215-244-6700 - FAX - 215-244-6605
e-mail: syshelp45@DomainRegistry.com