1. The domain name being requested
2. The Applicant
2.a. Name ( full legal name of the organization as it appears in the application for the domain name):
2.b E-mail address :
2.c. Postal Address :
2.d. Telephone Nº :
2.e. Telefax Nº :
3. Relinquishment of Domain Name.
I hereby agree to relinquish the domain name requested above without requiring any compensation from the DNS administrator or any other entity if another company having exactly the same name and who is registered with the Ministry of Commerce requests for the same domain name
Date, ____ _____ _____
Witness Applicant
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