Request of modification of Registry of domain

1. The form should only be filled by existing (registered) Contacts (Administrative, Technical and Billing) of the domain. Check WHOIS to see the registered contacts.

Don't use point ( . ) or commas ( , ) Within the domain name. It does not need to put www.

Name of the Domain
   1 Nombre del dominio: ejemplo: micasa.com.pa
Complete name of the dominion that wishes to modify.    Single it fills the fields that wish to modify ...
Administrative Contact of the Organization
   2.1 First name and Surname:
   2.2 Organization:
   2.3 Function:
   2.4 City:
   2.5 Country:
   2.6  Postal Code:
   2.7 Office Phone:
   2.8 Fax:
   2.9 E-mail address:
Technical Contact of the Organization
   3.1 First name and Surname:
   3.2 Organization:
   3.3 Function:
   3.4 City:
   3.5 Country:
   3.6 Postal Code:
   3.7 Office Phone:
   3.8 Fax:
   3.9 E-mail address:
Billing Contact of the Organization
   4.1 First name and Surname:
   4.2 Organization:
   4.3 Function:
   4.4 City:
   4.5 País:
   4.6 Postal Code:
   4.7 Office Phone:
   4.8 Fax:
   4.9 E-mail address:
Data of the Primary DNS Host (Primary DNS IPv4 )
   5.1 Primary DNS Hostname:
   5.2 IP address of the primary DNS Host:
Datas of the Secondary DNS Host (Secondary DNS IPv4)
   6.1 First Secondary DNS Host
* 6.1.1 First secondary DNS Hostname:
* 6.1.2 IP address:
   6.2 Second Secondary DNS Host
   6.2.1 Second secondary DNS Hostname:
   6.2.2 IP address:
   6.3 Third secondary DNS Host
   6.3.1 Third secondary DNS Hhostname:
   6.3.2 IP address:
Data of the Primary DNS Hostname IPv6 (DNS IPv6 Primary)
   7.1 Primary DNS Hostname:
   7.2 IP address of the primary DNS Host:
Data of the Secondary DNS Hostname IPv6 (DNS IPv6 Secondary)
    8.1 First Secondary DNS Hostname
   8.1.1 Secondary DNS Hostname:
   8.1.2 IP Address of the secondray DNS Hostname:
Solicitor Data
   Name of the Solicitor:
   E-mail of the Solicitor:
   Phone of the Solicitor: