Fillable Change of contact form (City of Oakland)

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Change of contact form (City of Oakland)

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The Change of contact form (City of Oakland) form is 2 pages long and contains:

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Country of origin: US
File type: PDF

U.S.A. forms for City of Oakland

BROWSE CITY OF OAKLAND (CA) FORMS

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Change of contact form
This form must be used in the event that you have lost access to the email address for your account
under which your domains are managed, and you do not have access to the login information for your
account. If you do have access to the login information for your account, please login at
http://www.Rebel.com and complete these changes in real-time.
By completing and returning this form, you are authorizing Rebel.com to change the email address
for the account. This new email address will become the method in which notifications concerning
the domains in this account will be sent.
Individuals
If the account is registered to an individual, this form must:
1. Be printed
2. Be filled in as required
3. Include a photocopy displaying both sides of signed government issued photo identification
such as a driver’s license
a. Scanned and emailed to service@rebel.com or
b. Faxed to the number at the end of this form
Please note that Rebel.com reserves the right to request that this Authorization of Change of Contact E-
mail Address be notarized as proof of the individual’s identity.
Companies
If the account is registered by a company or organization, this form must be:
1. Printed on the company/organization’s official letterhead
2. Filled in as required
3. Signed by an authorized officer of the organization
a. Scanned and emailed to service@rebel.com or
b. Faxed to the number at the end of this form
Questions about the use of the form may be directed to Rebel.com Customer Service at
service@Rebel.com or by phone at +1 613 221 1200. The fax number is +1 613 706 1248.
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Attention: Customer Service
Phone: +1 613 221 1200
Fax: +1 613 706 1248
Re: Authorization of Change of Contact E-mail Address
I hereby authorize Rebel.com to change the email address for the account identified below.
I hereby declare I am the Registrant (Owner) of this Account.
I understand that Rebel.com will change the account information. I also understand that this new email
address is the method in which notifications are sent concerning this account, and that it is my
responsibility to ensure that it is kept current and active.
I understand that information that will allow for the control of the account and the domains there-in,
such as userid’s and passwords, will be sent to this new email address.
Please provide one domain in the account for validation purposes:
Note: The domain name will be used for identification purposes only and will not be modified.
______________________________
Any domain name held in Account
New email address:
_______________________________________________________________________
New email address
Signed:
______________________________ ______________________________
(Signed) Print Name
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Change of contact form (City of Oakland)

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Completed 27 June 2022

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