City, date
NETREGISTER.BIZ
Phoenix Informatica srl
Customer Service
P.O. Box 1897
Gavardo, BS 25085 IT
Object: Registrant/Owner Changes.
Il sottoscritto (Here, admin-c)...............................
titolare del dominio (Admin-c of domain)......................
chiede il cambio di Registrant secondo i seguenti parametri (requests the Registrant change with the new parameters):
New Registrant (Owner/Organization) 1. Societa' (Organization)...: _____________________________ 2. Indirizzo (Street Address): _____________________________ 3. Comune (City).............: _____________________________ 4. Provincia (State).........: _____________________________ 5. CAP (Postal Code).........: _____________________________ 6. Nazione (Country).........: _____________________________ 7. Telefono (Phone Number)...: _____________________________ 8. Fax (Fax Number)..........: _____________________________ 9. E-Mail....................: _____________________________
Firma e timbro
Signature
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