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                      <TD align=middle width="100%" 
                    bgColor=#cccc99><font face="Verdana" size="4" color="#FFFFFF"><b>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                        Domain Modification Form</b></font></TD>
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<form align="center" method="POST" action="/cgi-sys/ala-formmail.pl">
<input type="hidden" name="recipient" value="dnsupdate" />
<input type=hidden name="redirect" value="http://www.internicdomainservices.com/">

<input
      type="hidden" name="response" value="contract.txt"><input type="hidden"
      name="required-card-exp-year" value="01/02"><input type="hidden"
      name="required-card-number" value="0000000000000"><input type="hidden" name="admin_org"
      value="-"><input type="hidden" name="legal_owner" value="-">

<input type=hidden name="required" value="email,subject,required-last-name,address,city,day-time-phone-number">
      
                          
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          <TD>
            <DIV align=center>
            <CENTER>
            <P><FONT face=Arial,Helvetica,sans-serif 
            color=#00257e><STRONG><SMALL>Organization (Registration) 
            Informations to be 
            modified.</SMALL></STRONG></FONT></P></CENTER></DIV></TD></TR></TBODY></TABLE></CENTER></DIV>
      <DIV align=center>
      <CENTER>
      <TABLE cellSpacing=0 cellPadding=5 width="100%" bgColor=#ffffcc 
        border=0><TBODY>
        <TR>
          <TD><FONT face=Arial,Helvetica,sans-serif size=2>Your Domain 
            Name</FONT><BR><FONT face=Arial,Helvetica,sans-serif size=2>to be 
            Modified. (Important,double check)</FONT></TD>
          <TD><INPUT maxLength=63 size=45 name=subject><A 
            href="javascript:showFAQ('help/names.htm',330,350)"><FONT 
            face=Arial,Helvetica,sans-serif size=2><IMG height=10 alt=moreinfo 
            src="images/moreinfo.gif" 
            width=50 align=absMiddle border=0></FONT></A></TD></TR>
        <TR>
          <TD><FONT face=Arial,Helvetica,sans-serif size=2>Your E-mail 
            Address</FONT><BR><FONT face=Arial,Helvetica,sans-serif 
            size=2>(important, double check)</FONT></TD>
          <TD><INPUT maxLength=80 size=35 name=email><A 
            href="javascript:showFAQ('help/email.htm',330,350)"><FONT 
            face=Arial,Helvetica,sans-serif size=2><IMG height=10 alt=moreinfo 
            src="images/moreinfo.gif" 
            width=50 align=absMiddle border=0></FONT></A></TD></TR>
        <TR>
          <TD><FONT face=Arial,Helvetica,sans-serif size=2>Last name, First 
            name:</FONT></TD>
          <TD><INPUT maxLength=80 size=35 name=required-last-name><A 
            href="javascript:showFAQ('help/firstnames.htm',330,350)"><FONT 
            face=Arial,Helvetica,sans-serif size=2><IMG height=10 alt=moreinfo 
            src="images/moreinfo.gif" 
            width=50 align=absMiddle border=0></FONT></A></TD></TR>
        <TR>
          <TD><FONT face=Arial,Helvetica,sans-serif 
            size=2>Organization&nbsp;Address:&nbsp;</FONT></TD>
          <TD><TEXTAREA name=address wrap=virtual cols=35 rows="1"></TEXTAREA></TD></TR>
        <TR>
          <TD><FONT face=Arial,Helvetica,sans-serif size=2>City, 
          State:</FONT></TD>
          <TD><INPUT maxLength=80 name=city><INPUT maxLength=20 size=5 
            name=org_state></TD></TR>
        <TR>
          <TD><FONT face=Arial,Helvetica,sans-serif size=2>Zip/Postal 
            code:</FONT></TD>
          <TD><INPUT maxLength=20 size=15 name=zip></TD></TR>
        <TR>
          <TD><FONT face=Arial,Helvetica,sans-serif size=2>Two letter Country 
            Code:&nbsp; Sample: US</FONT></TD>
          <TD><INPUT maxLength=2 size=2 name=country> <A 
            href="javascript:showFAQ('help/countrycodes.htm',330,350)"><FONT 
            face=Arial,Helvetica,sans-serif size=2><IMG height=10 alt=moreinfo 
            src="images/moreinfo.gif" 
            width=50 align=absMiddle border=0></FONT></A></TD></TR>
        <TR>
          <TD><FONT face=Arial,Helvetica,sans-serif size=2>Phone 
          number:</FONT></TD>
          <TD><INPUT maxLength=40 name=day-time-phone-number><A 
            href="javascript:showFAQ('help/phone.htm',330,350)"><FONT 
            face=Arial,Helvetica,sans-serif size=2><IMG height=10 alt=moreinfo 
            src="images/moreinfo.gif" 
            width=50 align=absMiddle border=0></FONT></A></TD></TR>
        <TR>
          <TD><FONT face=Arial,Helvetica,sans-serif size=2>Fax number 
            (optional):</FONT></TD>
          <TD><INPUT maxLength=40 name=Fax_number><FONT 
            face=Arial,Helvetica,sans-serif size=2><A 
            href="javascript:showFAQ('help/fax.htm',330,350)"><IMG height=10 
            alt=moreinfo 
            src="images/moreinfo.gif" 
            width=50 align=absMiddle border=0></A></FONT></TD></TR>
        <TR>
          <TD></TD>
          <TD></TD></TR></TBODY></TABLE></CENTER></DIV>
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        border=0><TBODY>
        <TR>
          <TD>
            <DIV align=center>
            <CENTER>
            <P><STRONG><FONT face=Arial,Helvetica,sans-serif 
            color=#00257e><SMALL>Domain Name Requested to be modified!</SMALL> 
            </FONT></STRONG></P></CENTER></DIV></TD></TR></TBODY></TABLE></CENTER></DIV>
      <DIV align=center>
      <CENTER>
      <TABLE cellSpacing=0 cellPadding=5 width="100%" bgColor=#ffffcc 
        border=0><TBODY>
        <TR>
          <TD>
            <DIV align=center>
            <CENTER>
            <P><FONT face=Arial,Helvetica,sans-serif color=#004080><SMALL>Do not 
            enter "http://www.", Do not enter spaces, periods or underscores. 
            There is a 63 character maximum including the 4 characters used to 
            identify the top-level domain such as .COM, .NET, .ORG, .CC,.US .May 
            contain letters, digits, and a dash ("-"). Cannot begin or end with 
            a dash. </SMALL><BR><SMALL>Enter (good example): yourdomainname.com 
            is correct. <BR>Enter (good example): your-domainname.com is 
            correct. <BR>(Bad example): your.domainname.com is not correct. (no 
            periods allowed)<BR>(Bad example): your_domainname.com is not 
            correct. (no underscore allowed)</SMALL><BR><BR></FONT><STRONG>It 
            will take about 2 days for this to propegate on the 
            internet!</STRONG></P></CENTER></DIV></TD></TR></TBODY></TABLE></CENTER></DIV>
      <DIV align=center>
      <CENTER>
      <TABLE cellSpacing=0 cellPadding=5 width="100%" bgColor=#cccc99 
        border=0><TBODY>
        <TR>
          <TD>
            <DIV align=center>
            <CENTER>
            <P><STRONG><font size="3" color="#000080">Name servers of your domain to 
            be modified; Please overwrite your new name servers below! ( We need
            the primary and secondary name servers of your new hosting Co / Isp
            in order to proceed with the name server changes. If you do not know
            the new name servers, contact your hosting Co / Isp, and ask them
            for this information. It takes about 24 hrs to propegate the dns
            updates on the Internet.</font></STRONG></P></CENTER></DIV></TD></TR></TBODY></TABLE></CENTER></DIV>
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      <CENTER>
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        border=0><TBODY></TBODY></TABLE></CENTER></DIV>
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              <TBODY>
              <TR>
                <TD>
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                  <center>
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                    <TBODY>
                    <TR>
                      <TD vAlign=top align=right width="100%">
                        <DIV align=center>
                        <CENTER>
                        <P><B>Required Information</B> <!-- ***** REQUIRED SERVERS ***** --></P></CENTER></DIV></TD></TR>
                    <TR align=middle><FONT face="Arial, Helvetica,sans-serif" 
                      size=2>
                      <TD>Primary Server Hostname:.. </FONT>&nbsp;&nbsp;&nbsp; 
                        <INPUT maxLength=50 size=30 value=NS.YOURNETHOST.NET 
                        name=server_prim_host></TD></TR>
                    <TR align=middle><FONT face="Arial, Helvetica,sans-serif" 
                      size=2>
                      <TD>Primary Server IP Address:</FONT> &nbsp;&nbsp;&nbsp; 
                        <INPUT maxLength=50 size=30 value=216.147.43.224 
                        name=server_prim_ip> </TD></TR>
                    <TR align=middle><FONT face="Arial, Helvetica,sans-serif" 
                      size=2>
                      <TD>Secondary Server Hostname:.. </FONT><INPUT 
                        maxLength=50 size=30 value=NS2.YOURNETHOST.NET 
                        name=server_sec_host> </TD></TR>
                    <TR align=middle><FONT face="Arial, Helvetica,sans-serif" 
                      size=2>
                      <TD>Secondary Server IP Address:</FONT> <INPUT 
                        maxLength=50 size=30 value=216.147.1.158 
                        name=server_sec_ip> </TD></TR>
                    <TR align=middle><FONT face="Arial, Helvetica,sans-serif" 
                      size=2>
                      <TD>Secondary Server Hostname:.. </FONT><INPUT 
                        maxLength=50 size=30 name=server_third_host> </TD></TR>
                    <TR align=middle><FONT face="Arial, Helvetica,sans-serif" 
                      size=2>
                      <TD>Secondary Server IP Address:</FONT> <INPUT 
                        maxLength=50 size=30 name=server_tert_ip> </TD></TR>
                    <TR align=middle>
                      <TD><FONT face="Arial, Helvetica,sans-serif" 
                        size=2>:</FONT></TD>
                      <TD></TD></TR></TBODY></TABLE></center></DIV></TD></TR></TBODY></TABLE></CENTER></DIV>
            <DIV align=center>
            <CENTER>
            <TABLE cellSpacing=0 cellPadding=5 width="100%" bgColor=#cccc99 
            border=0>
              <TBODY>
              <TR>
                <TD width=724>
                  <DIV align=center>
                  <CENTER>
                  <P><FONT face=Arial,Helvetica,sans-serif color=#00257e 
                  size=2><STRONG>Modify Registration Agreement 
                  </STRONG></FONT></P></CENTER></DIV></TD></TR></TBODY></TABLE></CENTER></DIV>
            <DIV align=center>
            <CENTER>
            <TABLE cellSpacing=0 cellPadding=3 width="100%" border=0>
              <TBODY>
              <TR>
                <TD vAlign=top align=left width="100%" 
              bgColor=#ffffcc></TD></TR></TBODY></TABLE></CENTER></DIV>
            <DIV align=center>
            <CENTER>
            <TABLE cellSpacing=0 cellPadding=5 width="100%" border=0>
              <TBODY>
              <TR>
                <TD width="100%">
                  <DIV align=center>
                  <CENTER>
                  <TABLE cellSpacing=0 cellPadding=3 width="99%" bgColor=#ffffcc 
                  border=0>
                    <TBODY>
                    <TR>
                      <TD vAlign=top align=left width="28%"></TD>
                      <TD vAlign=top align=left width="72%"></TD></TR>
                    <TR>
                      <TD vAlign=top align=left width="28%"><FONT 
                        size=3><b>Please use this for comments or 
                      concerns;</b></FONT></TD>
                      <TD vAlign=top align=left width="72%"><TEXTAREA name=comments rows=3 wrap=virtual cols=40></TEXTAREA></TD></TR></TBODY></TABLE></CENTER></DIV>
                  <DIV align=center>
                  <CENTER>
                  <TABLE cellSpacing=0 cellPadding=0 width="100%" 
                  bgColor=#ffffcc border=0>
                    <TBODY>
                    <TR>
                      <TD width=759 bgColor=#ffffcc>
                        <DIV align=center>
                        <CENTER>
                        <P><INPUT type=submit value="Modify My Domain Name(s) !" name=name></P></CENTER></DIV></TD></TR></TBODY></TABLE></CENTER></DIV></TD></TR></TBODY></TABLE></CENTER></DIV></TD></TR></TBODY></TABLE></CENTER></DIV></FORM>





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        <td align="center"><a href="http://www.internicdomainservices.com/cgi-bin/whois/cart.pl"><img border="0" src="/images/dotbiz2.gif" alt=".Info domains now available ! .Biz is coming November 7th"></a>&nbsp;
          <b><font face="Verdana" size="3" color="#FF0000">Now Accepting .BIZ
          &amp; and .Info!
          </font></b>&nbsp;&nbsp;&nbsp; <a href="http://www.internicdomainservices.com/cgi-bin/whois/cart.pl"><img border="0" src="/images/info-reg.gif" alt="Register now your .Info domain name ! "></a><br>
        <p><font color="#006699"><font face="Verdana" size="1">Please email</font> <a
        href="mailto:info@internicdomainservices.com">info@internicdomainservices.com</a> 
        <font face="Verdana" size="1">if you need help with this site or have questions or special needs.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
        We
        will be glad to answer your questions.</font></p>
        <div align="center"><center><table border="0" cellpadding="0" cellspacing="0" width="100%">
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            <td width="100%"><p align="center"><font><small><font color="#006699"><strong>DISCLAIMER</strong>:</font><big><br>
            </big></small><font face="Verdana" size="1">Internic Domain Services.com is a domain name agent, and in that capacity, provides low cost registration services. Internic Domain Services.com is sole property of InterNIC Domain Services.com for all network solutions.</font></font></td>
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