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.XXX Statement of Authorization Form

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To complete your .XXX Sunrise application, the ICM Registry validation agent requires additional information. Please provide an authorized statement confirming that you have been granted the authority to act on behalf of the owner of the trademark. This document is being requested because the Owner of the submitted trademark and the registrant details of the domain name applied for do not match. The required statement of authorization may be in addition to any prior supporting documentation that has been requested.

The deadline for all Trademark Supporting Documents is November 2, 2011 at 12:00pm ET. We highly recommend that you submit this information in as soon as possible to make sure your application is processed before 12:00pm ET. We will not be able to complete any applications after that time, which may cause the .XXX application to be rejected.

Please contact the Owner of the trademark. They will need to provide the statement of authorization showing that they grant you (the Applicant) the authority to act on behalf of them (the Owner) as it relates to their trademark being used in the .XXX application process. Below is an example of a statement of authorization that you may use as a guide. We recommend that this statement of authorization be placed on the Owners’ company letterhead to assist with showing authenticity of this document.


Example Statement of Authorization

Company Letterhead

Name:
Address:
City, State, Zip:
Date:

I, _____________ (Owner of the Trademark Name) of ___________ (name of company/organization), herby approve and authorize  ________________ (name of the .XXX registrant submitting the application) to act on my behalf for the purpose of completing the .XXX domain application related to my trademark of __________________ (Trademark Name).

Sincerely,
_____________