Welcome to GKG.NET, INC. | Reseller Transfer Form Fill out this form and press print in your browser INSTRUCTIONS Fax to: GKG.NET, INC. FAX: 979-694-7060

I. Domain Information: Domains cannot be transferred to a different Registrant Contact.

Domain Information Please provide your transfer information in the appropriate fields below. Domain Name 1:   *Registrant Contact GKG Username:   Look Up Administrative Contact GKG Username:   Look Up Technical Contact GKG Username:   Look Up Billing Contact GKG Username:   Look Up *Must match the existing registrant Domain Name 2:   *Registrant Contact GKG Username:   Look Up Administrative Contact GKG Username:   Look Up Technical Contact GKG Username:   Look Up Billing Contact GKG Username:   Look Up *Must match the existing registrant Domain Name 3:   Look Up *Registrant Contact GKG Username:   Look Up Administrative Contact GKG Username:   Look Up Technical Contact GKG Username:   Look Up Billing Contact GKG Username:   Look Up *Must match the existing registrant

II. Payment Information

Payment Information Please provide your transfer information in the appropriate fields below. Credit Card Number:   Expiration Date:   Name on Card:   Billing Address:   City/State/Postal:   Country:   Price*:   *your transfer price must match your domain registration price

III. Reseller Identification

Reseller Identification Please provide your transfer information in the appropriate fields below. Reseller GKG Username:

I authorize _______________________________________ to transfer domains on my behalf. I understand that all customers are required to agree to all current GKG Registration Agreements and Policies as listed on their website. By signing and submitting this form, I consent to be bound by all GKG Registration Agreements and Policies. I further acknowledge that I am either the Registrant or an Authorized Agent acting on behalf of the Registrant of the attached or previously listed domains. I also understand that I am authorizing GKG to charge the credit card that will be used to pay for this transfer and that GKG will appear on my credit card statement with a $9.99 charge for the transfer. X Signature of Registrant or Authorized Agent of Registrant                     Date Print Name Phone: Email:

Fill out this form and press print in your browser
INSTRUCTIONS

Fax to:
GKG.NET, INC.
FAX: 979-694-7060

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