SECURE
Domain Transfer Form
SECURE DOMAIN TRANSFER FORM
Securely transmit domain transfer and credit card payment information to our billing department.
Your Domain:
Your Email Address:
Daytime Phone:
Authorization Code:
(from current registrar)
Comments:
The following information
MUST
match what appears on your credit card statement, including the billing address. The name must be exactly as it appears on the card.
Credit Card Type:
Select ->
Visa
Mastercard
American Express
Discover
Expires:
MM ->
01
02
03
04
05
06
07
08
09
10
11
12
Year
Card Number:
PLEASE DO NOT USE DASHES OR SPACES
CVVN:
What is this?
Name:
Address:
City, State, ZIP:
Country:
All Rights Reserved -
Allwebco
