DomainProcessor.com - Domain Name Registration Service

Email Change Form

This application is used to change the email associated with your domain name which is no longer valid or accessible. Please complete this form and provide the appropriate documents and mail/fax to DomainProcessor.

Fax to:

Mail to:

718-762-6896

DomainProcessor.com
Customer Support
134-16 Booth Mem. Ave. Suite 2b
Flushing, N.Y. 11355

The email change application is separated into four parts as follows:

Part I Registrant Information
Part II New Email
Part III Authorization Letter/Notary
Part IV Valid Photo ID

Part I Registrant Information

Domain Name:

_________________________________
_________________________________

Organization Name:

_________________________________

First Name:

_________________________________

Last Name:

_________________________________

Street Address:

_________________________________

City:

_________________________________

State:

_________________________________

Zip Code/Postal Code:

_________________________________

Country:

_________________________________

Telephone Number:

_________________________________

Fax Number:

_________________________________

Current Email Address:

_________________________________

Part II New Email

Please provide the new email address. This will be the new contact email where future confirmation/authorization messages will be sent. Please make sure that the new email is spelled correctly and that it is functional.

New Email:

Part III Authorization Letter/Notary

I, ______________________________, authorize DomainProcessor.com to modify the email address which I registered the domain name(s) listed on Part I of this application. My new email is provide in Part II of this application.

Please sign and date this letter in the presence of a notary public. All letters must be notarized or, outside the U.S.A., notarized, certified, legalized or otherwise properly verified, in the manner legally acceptable under local law, to be from the owner of the domain name.

Please provide notarization below:

Signature: ____________________________ Date: __________

Print Name: ___________________________

Part IV Valid Photo ID

Please attach, on a separate piece of paper, with this application a signed photocopy of a valid photo ID. ID must be national, state or local government-issued, such as a valid driver's license, passport, or military ID. The information on the ID must match the contact information.