Please complete this form then click here to print
Domain release form Fasthosts and UKreg logos
Use this form to request the release of a domain registered on your behalf by
a third-party, with Fasthosts.
We make a non-refundable £20 + VAT administration charge for this service.
1. Domain name to be released

Domain name

  
2. Contact information

First name

  

Last name

  
House / Flat number  
Street name  
Town / City  
Post code / Zip code  
Country  
Email address  
Daytime phone number  
3. Brief reason why you are unable to contact your supplier
4. Your new Fasthosts (or UKreg) account details

IMPORTANT: If you don't already have an account with us, create one now at www.fasthosts.co.uk/domains
Account username  
4-digit Support PIN  
Yes Please transfer the domain to this account.
I would like a Fasthosts Sales advisor to contact me about
web hosting for this domain (please tick).
5. Authorisation
Please attach a copy of the Nominet certificate (for UK domains),
or proof of purchase/invoice from the domain provider.
Signature  
Sign here when you have
printed the form.
Date
DD      MM       YYYY
Note: by signing this form you authorise us to debit your Fasthosts (or UKreg) account for £20 + VAT.
Complete this form and send it to:
Domains Team, Fasthosts Internet Ltd.
Discovery House, 154 Southgate Street
Gloucester, GL1 2EX.

Or fax it to: 0870 888 3760
(International: +44 1452 304242)		 For office use only:
 Advisor's name ____________________________
Ticket number _____________________________
Comments / resolution


Please complete this form then click here to print