Intended Signatory to the gTLD-MoU

We would like to indicate our intent to become a signatory to the gTLD-MoU.

Who were you referred by?

Please supply the complete information of the entity that wishes to sign:

Name of entity:
Address line 1:
Address line 2:
Address line 3:
Address line 4:
Address line 5:
Telephone:
FAX:
email contact address for this signatory:
WWW address of entity:
Songbird
6064 Skyfarm Drive
Castro Valley, CA 94552
USA


+1 510 886 7410
+1 510 733 0372
kent@songbird.com
http://www.songbird.com

Example: XYZ Corporation
519 Andriana Place
Auburn, California 95063
USA
Tel: +1 916 555 8766 FAX: +1 916 555 8767 rbrown@xyzcorp.com
www.xyzcorp.com

You will be listed (entity name only - no personal contact information) among signatories and intended signatories at:

http://www.itu.int/net-itu/gtld-mou/signat.htm

If desired, please supply the location of an appropriate company/entity graphics logo in GIF file format or mail it to gtld-mou@itu.int. The graphic should be no larger than 220 x 150 pixels and will be linked to the World Wide Web address listed above.

Who will be signing? (full name and title)
Kent Crispin, Owner

Do you wish to participate in the activities of the gTLD-MoU Policy Advisory Body (PAB)?

Yes

If yes, please supply the complete contact information for PAB activities:

Name:
Address line 1:
Address line 2:
Address line 3:
Address line 4:
Address line 5:
Telephone:
FAX:
email contact address(es):
Kent Crispin
6064 Skyfarm Drive
Castro Valley, CA 94552
USA


+1 510 886 7410
+1 510 733 0372
kent@songbird.com

Signature:




Please complete and fax to +41 22 730 5337, gTLD-MoU, International Telecommunication Union, Place des Nations, 1211 Geneva 20, Switzerland. You will be contacted on the exact procedures for signing the gTLD-MoU.