APPLICATION FOR REGISTRAR STAKEHOLDER GROUP MEMBERSHIP

Please complete the following application and press 'submit'' when finished.

By submitting this application, the registrar applicant and its representatives agree to abide by the Registrar Stakeholder Group Charter (http://icannregistrars.org/wp-content/uploads/2016/02/rrsg-charter-30may14-en.pdf) and the ICANN Expected Standards of Behavior (https://www.icann.org/resources/pages/expected-standards-2012-05-15-en).

Registrar Applicant (as listed with ICANN):
Your answer
Registrar IANA Number:
Your answer
Member Representative (First Name Last Name)
Your answer
Member Representative Email Address
Your answer
Alternate Member Representative (First Name Last Name)
Your answer
Alternate Member Representative Email Address
Your answer
Please list all email addresses you would like added to the RrSG membership distribution list:
Your answer
Is the registrar owned by or affiliated with any other company?
If yes, please provide the name(s) of the affiliated company(ies):
Your answer
Are you or any company you are owned by or otherwise affiliated with a voting member of any other stakeholder group or constituency?
If yes, which stakeholder group or constituency?
Your answer
If you wish to be a voting member of the RrSG, please provide the name of your voting representative:
Your answer
If you wish to be a voting member of the RrSG, please provide the email address of your voting representative:
Your answer
What country does the Registrar operate in?
Your answer
What geographic region does your organization represent? (See ICANN’s designation at https://meetings.icann.org/en/regions.)
What is your primary language?
What is your primary business focus?
How many domains under management do you have as a registrar?
If you have any further questions about membership, please add them here:
Your answer
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