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Send this agreement via fax to:Dot TK Registry

Attn: Registrant Change GroupPriority Service: fax + !" ##$ %&%#

'(S( To)) *ree: fax ,"" #" !%-$

Registrant .ame Change AgreementVersion 3.0 Transfers

/e sure a)) the fie)ds are comp)eted in fu)) 0nce this form is comp)ete1 verify the information1 read it1 sign it and date it An individua) that has the apparent authority to )ega))y 2ind the current Registrant must sign this

form in the presence of a .otary Pu2)icThe .otary Pu2)ic is re3uired to notari4e this form

An individua) that has the apparent authority to )ega))y 2ind the ne5 Registrant must a)so sign thisform( .otari4ation is not re3uired for the ne5 Registrant6s signature

7a8e a copy of the Agreement for your records1 then fax it to Dot TK at the appropriate num2er assho5n a2ove

0r1 if this Domain .ame is the su29ect of a )itigation or trademar8 dispute1 send this Agreement tothe Dot TK Registry via fax at + !" ##$ %&%# or via posta) mai) to: Dot TK Registry1 , /er5ic8Street1 ondon ;* 0PP if app)ica2)e(

>f the address you have entered a2ove is different to your Dot TK records1 p)ease exp)ain 2e)o5(

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CurrentRegistrants type ofbusiness

J Corporation J Partnership J imited PartnershipJ So)e Proprietorship J 0ther p)ease specifyE

Transfer theregistration for thedomain to:

The name of the .e5 Registrant( >f the ne5 registrant is a 2usiness1 p)ease a)so provide the name of the contactperson(

New registrantsaddress

nter the correct address of the .e5 Registrant(

Terms and conditions The Current Registrant and the .e5 Registrant enter into this Registrant .ame ChangeAgreement as of the date executed 2y the fina) party hereto(

;

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ignature !"oc# Current Registrantmust comp"ete be"ow:

New Registrant mustcomp"ete be"ow:

The undersigned represent and 5arrant that they possess the authority to )ega))y 2ind the currentand ne5 registrant1 respective)y1 of the domain name 2eing transferred as per the Registrant .ameChange Agreement(

0rgani4ation 0rgani4ation

Signature Signature

Signor6s .ame p)ease printE Signor6s .ame p)ease printE

Active emai) address Active emai) address

Phone .um2er Phone .um2er

Date Date

Notari$ation A notary pu2)ic or its foreign e3uiva)ent must certify the Current Registrant6s signature(

County of:

State of:

The foregoing instrument 5as signed 2efore me 2y the person 5hose name appears in the CurrentRegistrant6s signature 2)oc8(

.otary6s .ame printedE:

.otary6s Signature:

Date of .otari4ation:

7y commission expires:

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>f > se)ected the Priority Registrant .ame Change Service eve)1 a2ove1 >agree to pay Dot TK 'SD #&("" per transaction( /e)o5 is my credit cardinformation for this transaction(

Credit Card Type

Credit Card .um2er

xpiration Date

COC Code

Card