Registrar Information Form

All sections and fields are required unless otherwise indicated. If you require assistance, please contact Customer Affairs at cao@verisign.com.

I. Registrar Information ?

* Corporate Name

* Address

* City

* Country

* State/Province

* Zip/Postal Code

* Telephone Number + -

Facsimile Number + -

II. Required E-Mail Addresses

* Administrative E-Mail Address (Receives Domain Name Transfers Notifications) ?

* Finance E-Mail Address (Receives Low Balance Notifications) ?

III. Security Pass Phrase ?

* Security Pass Phrase (Registrar’s authentication phrase to validate who you are when contacting Registry Customer Service by telephone.) ?

IV. Contacts ?

Administrative Contact 1 (must be 24 x 7) ?

Title

Job Title

* First Name

Middle Initial

* Last Name

* E-mail Address

* Address

* City

* Country

* State/Province

* Zip/Postal Code

* Telephone Number + -

Facsimile Number + -

Administrative Contact 2

Title

Job Title

First Name

Middle Initial

Last Name

E-mail Address

Address

City

Country

State/Province

Zip/Postal Code

Telephone Number + -

Facsimile Number + -

Administrative Contact 3

Title

Job Title

First Name

Middle Initial

Last Name

E-mail Address

Address

City

Country

State/Province

Zip/Postal Code

* Telephone Number + -

Facsimile Number + -

Chief Executive Officer ?

Check here if the main contact information is the same for this section.

Title

Job Title

* First Name

* Last Name

* E-mail Address

* Address

* City

* Country

* State/Province

* Zip/Postal Code

* Telephone Number + -

Facsimile Number + -

President

Check here if the main contact information is the same for this section.

Title

Job Title

* First Name

* Last Name

* E-mail Address

* Address

* City

* Country

* State/Province

* Zip/Postal Code

* Telephone Number + -

Facsimile Number + -

Attorney or Legal Representative

Check here if the main contact information is the same for this section.

Title

Job Title

* First Name

* Last Name

* E-mail Address

* Address

* City

* Country

* State/Province

* Zip/Postal Code

* Telephone Number + -

Facsimile Number + -

Technical Contact 1 ?

Title

Job Title

* First Name

* Last Name

* E-mail Address

* Address

* City

* Country

* State/Province

* Zip/Postal Code

* Telephone Number + -

Facsimile Number + -

Technical Contact 2

Title

Job Title

First Name

Last Name

E-mail Address

Address

City

Country

State/Province

Zip/Postal Code

Telephone Number + -

Facsimile Number + -

Technical Contact 3

Title

Job Title

First Name

Last Name

E-mail Address

Address

City

Country

State/Province

Zip/Postal Code

Telephone Number + -

Facsimile Number + -

Billing Contact ?

Check here if the main contact information is the same for this section.

Title

Job Title

* First Name

* Last Name

* E-mail Address

* Address

* Country

* State/Province

* City

* Zip/Postal Code

* Telephone Number + -

Facsimile Number + -

Primary Contact (receive legal notices) ?

Check here if the main contact information is the same for this section.

Job Title

* First Name

* Last Name

* E-mail Address

* Address

* City

* Country

* State/Province

* Zip/Postal Code

* Telephone Number + -

Facsimile Number + -

Secondary Contact (receive legal notices) ?

Check here if the main contact information is the same for this section.

Job Title

* First Name

* Last Name

* E-mail Address

* Address

* City

* Country

* State/Province

* Zip/Postal Code

* Telephone Number + -

Facsimile Number + -

Transfer Point of Contact

Check here if the main contact information is the same for this section.

Job Title

* First Name

* Last Name

* E-mail Address

* Address

* City

* Country

* State/Province

* Zip/Postal Code

* Telephone Number + -

Facsimile Number + -

V. System Information

* Registrar Whois Server Name ?

* Registrar Web Server Name ?

* Registrar OT&E Client Subnets ?

Please provide IP Subnets for both OT&E and Production servers that will be authorized to connect to each environment (if the IP Subnets are the same for both environments, they are to be listed under each heading).

For the servers that will be authorized to contact the Shared Registration System, each Registrar may specify:

A maximum of 6 subnets
A maximum of 288 IP addresses between the two subnets (not less than a /26 range).
Subnets must be specified in "dotted quad and length" (CIDR) format as 100.101.102.0/27.
Examples of acceptable subnet/address formats are:
- One subnet of 64 hosts (e.g., 100.101.102.0/26).
- Three subnets of 32 hosts or less (e.g., specify 32 addresses on one network as 100.101.102.0/27 [addresses 100.101.102.0 through 100.101.102.31] and 32 addresses on a second network as 102.101.100.32/27 [addresses 102.101.100.33 through 102.101.100.62]).
No ranges above /25 will be accepted.
Please note that specified subnets must not cross bit boundaries. For example, a subnet specified as 100.101.102.1/27 is not acceptable. The following table defines the bit boundaries as related to the number of hosts allowed.

Verisign Registry guidelines stipulate that each registrar can have up to 3 subnet ranges with a maximum of 96 hosts. The ranges must be written in CIDR format. We cannot accept any ranges below a /26 range (i.e. /25, /24, etc). CIDR format dictates the number of hosts within each range. The ranges are as follows:

Bit Boundaries	# of Hosts Allowed	Boundaries
/26	64	0, 64, 128, 192
/27	32	0, 32, 64, 96, 128, 160, 192, 224
/28	16	0, 16, 32, 48, 64, 80, 96, 112, 128, 144, 160, 176, 192, 208, 224, 240
/29	8	0, 8, 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, 104, 112, 120, 128, 136, 144, 152, 160, 168, 176, 184, 192, 200, 208, 216, 224, 232, 240, 248
/30	4	0, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, 100, 104, 108, 112, 116, 120, 124, 128, 132, 136, 140, 144, 148, 152, 156, 160, 164, 168, 172, 176, 180, 184, 188, 192, 198, 200, 204, 208, 212, 216, 220, 224, 228, 232, 236, 240, 244, 248, 252
/31	2	0, 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30, 32, 34, 36, 38, 40, 42, 44, 46, 48, 50, 52, 54, 56, 58, 60, 62, 64, 66, 68, 70, 72, 74, 76, 78, 80, 82, 84, 86, 88, 90, 92, 94, 96, 98, 100, 102, 104, 106, 108, 110, 112, 114, 116, 118, 120, 122, 124, 126, 128, 130, 132, 134, 136, 138, 140, 142, 144, 146, 148, 150, 152, 154, 156, 158, 160, 162, 164, 166, 168, 170, 172, 174, 176, 178, 180, 182, 184, 186, 188, 190, 192, 194, 198, 200, 202, 204, 206, 208, 210, 212, 214, 216, 218, 220, 222, 224, 226, 228, 230, 232, 234, 236, 238, 240, 242, 244, 248, 250, 252, 254
/32	1	1 through 256

Any changes to your Registrar Client Subnets MUST be coordinated through Registry Customer Service. You may contact them by email at info@verisign-grs.com or by telephone at (703) 925-6999. This coordination must begin prior to any changes within the Registrar’s systems.

* Registrar Production Client Subnets
(Maximum 6 subnets)
(Maximum 288 hosts) ?

Please provide IP Subnets for both OT&E and Production servers that will be authorized to connect to each environment. (If the IP Subnets are the same for both environments, they are to be listed under each heading.)

Examples and requirements of acceptable subnet/address formats are:

One subnet of 64 hosts (e.g., 100.101.102.0/26) and one subnet of 32 hosts or less.

Three subnets of 32 hosts or less (e.g., specify 32 addresses on one network as 100.101.102.0/27 [addresses 100.101.102.0 through 100.101.102.31] and 32 addresses on a second network as 102.101.100.32/27 [addresses 102.101.100.33 through 102.101.100.62]).

No ranges below /26 (i.e. /25, /24, etc) will be accepted.

Please note that specified subnets must not cross bit boundaries. For example, a subnet specified as 100.101.102.1/27 is not acceptable. The following table defines the bit boundaries as related to the number of hosts allowed.

Bit Boundaries	Number of Hosts Allowed	Boundaries
/26	64	0, 64, 128, 192
/27	32	0, 32, 64, 96, 128, 160, 192, 224
/28	16	16 0, 16, 32, 48, 64, 80, 96, 112, 128, 144, 160, 176, 192, 208, 224, 240
/29	8	8 0, 8, 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, 104, 112, 120, 128, 136, 144, 152, 160, 168, 176, 184, 192, 200, 208, 216, 224, 232, 240, 248
/30	4	4 0, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, 100, 104, 108, 112, 116, 120, 124, 128, 132, 136, 140, 144, 148, 152, 156, 160, 164, 168, 172, 176, 180, 184, 188, 192, 198, 200, 204, 208, 212, 216, 220, 224, 228, 232, 236, 240, 244, 248, 252
/31	2	2 0, 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30, 32, 34, 36, 38, 40, 42, 44, 46, 48, 50, 52, 54, 56, 58, 60, 62, 64, 66, 68, 70, 72, 74, 76, 78, 80, 82, 84, 86, 88, 90, 92, 94, 96, 98, 100, 102, 104, 106, 108, 110, 112, 114, 116, 118, 120, 122, 124, 126, 128, 130, 132, 134, 136, 138, 140, 142, 144, 146, 148, 150, 152, 154, 156, 158, 160, 162, 164, 166, 168, 170, 172, 174, 176, 178, 180, 182, 184, 186, 188, 190, 192, 194, 198, 200, 202, 204, 206, 208, 210, 212, 214, 216, 218, 220, 222, 224, 226, 228, 230, 232, 234, 236, 238, 240, 242, 244, 248, 250, 252, 254
/32	1	1 through 256

Any changes to your Registrar Client Subnets MUST be coordinated through Registry Customer Service. You may contact them by email at info@verisign-grs.com or by telephone at (703) 925-6999.

* Registrar Tool Client Subnets
(Maximum 5 subnets)
(Maximum 500 hosts) ?

Bit Boundaries	Number of Hosts Allowed	Boundaries
/26	64	0, 64, 128, 192
/27	32	0, 32, 64, 96, 128, 160, 192, 224
/28	16	16 0, 16, 32, 48, 64, 80, 96, 112, 128, 144, 160, 176, 192, 208, 224, 240
/29	8	8 0, 8, 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, 104, 112, 120, 128, 136, 144, 152, 160, 168, 176, 184, 192, 200, 208, 216, 224, 232, 240, 248
/30	4	4 0, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, 100, 104, 108, 112, 116, 120, 124, 128, 132, 136, 140, 144, 148, 152, 156, 160, 164, 168, 172, 176, 180, 184, 188, 192, 198, 200, 204, 208, 212, 216, 220, 224, 228, 232, 236, 240, 244, 248, 252
/31	2	2 0, 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30, 32, 34, 36, 38, 40, 42, 44, 46, 48, 50, 52, 54, 56, 58, 60, 62, 64, 66, 68, 70, 72, 74, 76, 78, 80, 82, 84, 86, 88, 90, 92, 94, 96, 98, 100, 102, 104, 106, 108, 110, 112, 114, 116, 118, 120, 122, 124, 126, 128, 130, 132, 134, 136, 138, 140, 142, 144, 146, 148, 150, 152, 154, 156, 158, 160, 162, 164, 166, 168, 170, 172, 174, 176, 178, 180, 182, 184, 186, 188, 190, 192, 194, 198, 200, 202, 204, 206, 208, 210, 212, 214, 216, 218, 220, 222, 224, 226, 228, 230, 232, 234, 236, 238, 240, 242, 244, 248, 250, 252, 254
/32	1	1 through 256

Any changes to your Registrar Client Subnets MUST be coordinated through Registry Customer Service. You may contact them by email at info@verisign-grs.com or by telephone at (703) 925-6999.

* SSL Certificate Common Name

International Customers ?

What is the best time to call the listed contacts? This is requested in the event that contact is necessary via telephone.

How many hours difference is there between the Registrar’s office and the Registry, which is on Eastern Time in the United States?

Does the Registrar’s staff speak English? If not, what is the primary language? This is to assist the Registry in providing Customer Service.

Time of day to contact Registrar

During Eastern Daylight Time (EDT)

During Eastern Standard Time (EST)

Registrar’s Staff is English speaking

Yes

If no, what is your primary language?

Languages ?
Besides your primary language, what other languages does your business support? (List all here)

VI. Comments

Please note any special instructions or additional information ?

Verisign respects your right to privacy, see our Privacy Statement.