APPLICATION FOR REGISTRAR STAKEHOLDER GROUP (RrSG) MEMBERSHIP
Please complete this application form if you are interested in becoming a member of the Registrar Stakeholder Group (RrSG).
It should be noted that, as per the RrSG Charter, to be eligible for membership, an entity must meet the following requirements:
a. Be an ICANN-Accredited Registrar in good standing;
b. Pay the required Registrar Stakeholder Group membership fees for the current Fiscal Year; and
c. Declare any:
i. Conflicts of interest;
ii. Affiliations with other Registrar Stakeholder Group Members;
iii. Affiliations with other ICANN Affiliates; and
iv. Affiliations with any other organization that is a member of another ICANN Affiliate.
* Required
Name of the applicant registrar (as listed with ICANN):
*
Your answer
Registrar IANA Number:
*
Your answer
What geographic region does the registrar represent? (See ICANN’s designation at
https://meetings.icann.org/en/regions
.)
*
AF (Africa)
AP (Asia / Australia / Pacific)
EUR (Europe)
LAC (Latin America / Caribbean)
NA (North America)
What country(ies) does the registrar operate in?
*
Your answer
Where is the registrar incorporated?
*
Your answer
Is the registrar expecting to have Voting Member status?
*
Yes
No
Member Representative (First Name Last Name) for the registrar
*
Your answer
Member Representative email address
*
Your answer
Alternate Member Representative (First Name Last Name) for the registrar, if applicable
Your answer
Alternate Member Representative Email Address
Your answer
Billing Contact Email (if different from Member Representative)
Your answer
Please list all email addresses you would like added to the RrSG Member Distribution List:
*
Your answer
Is the registrar owned by, or affiliated with, another entity?
*
Yes
No
If yes, please provide the name(s) of the owner/affiliated entity(ies):
Your answer
Is any owner/affiliated entity a member of the RrSG?
*
Yes
No
Is the applicant registrar or their owner/affiliated entity a member of another ICANN stakeholder group or constituency?:
*
Yes
No
If yes, please advise the name of the ICANN stakeholder group or constituency that the applicant registrar or their owner/affiliated entity is a member of:
Your answer
Does the applicant registrar or their owner/affiliated entity vote in the other ICANN stakeholder group or constituency?
*
Yes
No
What is the registrar's primary language?
*
Your answer
What is the registrar's primary business focus?
*
Retail registrar
Wholesale registrar
Brand protection registrar
Hosting services
How many domains under management do you have as a registrar?
*
0 - 5,000
5,001 - 50,000
50,001 - 100,000
100,001 - 999,999
1 - 5 million
More than 5 million
If you have any further questions about membership, please add them here:
Your answer
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