[INSERT DATE]


To whom it may concern:


Recently, we applied to change the host for our domain, and it was rejected.  My organization is listed as a registrant.

The request tracking number from the rejection was:  [INSERT TRACKING NUMBER]

Please change the domain specifications changed so that:

The Administrative Contact is listed as:	[Last name, first name] OR [NIC Handle]
[Full Mailing Address, City, State, Zip]
[Phone Number] 

The Billing Contact is listed as:	[Last name, first name] OR [NIC Handle]
[Full Mailing Address, City, State, Zip]
[Phone Number]

The Technical Contact is listed as:	[Last name, first name] OR [NIC Handle]
[Full Mailing Address, City, State, Zip]
[Phone Number]

The Primary Domain is listed as:	[INSERT HERE]

The Secondary Domain is listed as:	[INSERT HERE]

The Primary Net Address is listed as:	[INSERT HERE]

The Secondary Net Address is listed as:	[INSERT HERE]



Following this fax transmission will be a photocopy of my photo ID.

Please contact me at [INSERT AREA CODE AND PHONE NUMBER] if you have any questions.

Sincerely,


(Sign Here)


[YOUR NAME] , [YOUR TITLE]