Request for Domain Name Creation Date

Domain Name(s):

Your contact details:

Name:

Organisation:

Address:

Telephone Number:

Fax Number:

Email Address:

  I warrant that the information requested herein is sought for the sole purpose of establishing rights in connection with a proposed claim under the .au Dispute Resolution Policy or other court proceeding with respect to the domain name(s), and will not be disclosed to any other party or used for any other purpose whatsoever.