Seednet = = Domain Name Register Center = =

Request For Change Form

Domain Name：　　　　　　　　　　　　　　　　　　Date：　　　 /　　　 /　　

Please mark the items to be modified or checked, and provide the correct info. needed

□
Registrant's Information

Account Number：

Business Name：

Name (Last Name, first name)：

Email：

Phone number:(including country / area code)：

Fax number:(including country / area code)：　　　　　　　　　

Invoice sending address：

□Password

□ Password check　
□Password change：　　　　
New password confirm：
( 2-8 alphabets and numbers; notice of uppercase and lowercase letters )

Signature of applicant

Seednet use only

□ Email operations

Instruction directions ：

The application form is only applicable to password check and modification of password, business name and invoice info. Please go to "Account Manager" to make basic information modification.
( http://rs.seed.net.tw )
To prevent your domain name from misuse by other parties, please attach this application form with your "Business Registration Certificate" or appropriate certificates and fax it to 886-2-2659-9789, "Domain Name Register Center, Seednet". After confirmation shall the requested check or change can be made.
Within three working days after we receive your fax, we will reply with email informing you the requested items. So please make sure the email address is correct and reachable .