Domain Renewal Form Name Step 1. DOMAIN NAME INFORMATION Domain Names (one per line) * Renewal Term * – Select Renewal Term – 1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years Step 2. CONTACT INFORMATION First Name * Last Name * Email Address * Step 3. BILLING INFORMATION Credit Card Type — Select Credit Card Type — Visa Mastercard American Express Discover Credit Card Number Credit Card Expiration Date Credit Card CVC Number Name of Card Holder Credit Card Billing Address Credit Card Zip Comments