Revised: January 2006

This domain is frozen. The UT System Office of Telecommunication Services (OTS), the domain name registration authority for tenet.edu, is accepting only modifications or deletions to existing tenet.edu domain names.

Existing domain holders and Texas public schools, school districts, and Education Service Centers (ESCs) that wish to register a new domain name should consider registering within the .edu, .k12.tx.us or .org domains.

1. Operation to Perform

Select modify or delete. For modifications, the information you provide here will completely replace existing information.

Operation to Perform

2. Domain Name

Provide the name of the domain to modify or delete.

Domain Name (do not include .tenet.edu)	.tenet.edu

2. Organization Information

Provide the complete name and address of the organization represented by this domain.

Name of Organization
Address
City	TX
Postal Code

3. Technical Contact Information

The technical contact is responsible for resolving technical problems associated with the domain and for sending updates about the domain to OTS. The technical contact may also be responsible for delegating hosts within this domain.

Last Name
First Name
Email Address
Telephone Number

Check this box if the Technical Contact works for the Organization above	(If this button is checked, the following "Name of Organization" field will be ignored.)
Name of Organization

4a. Primary Name Server Information

Provide the fully qualified domain name (FQDN) and IP address of the primary name server for this domain in the spaces below. The primary name server listed here must be operational, reachable from the Internet, and serving the domain in question at the time you submit this form.

Primary Name Server FQDN
Primary Name Server IP Address

4b. Primary Name Server Contact Information

Provide the contact information for the person who operates this name server.

Check this box if the contact is the same as the Technical Contact	(If this box is checked, the rest of this section will be ignored.)

Last Name
First Name
Email Address
Telephone Number

5a. Secondary Name Server Information

Provide the fully qualified domain name (FQDN) and IP address of the secondary name server for this domain in the spaces below. The secondary name server listed here must be operational, reachable from the Internet, and serving the domain in question at the time you submit this form.

Secondary Name Server FQDN
Secondary Name Server IP Address

5b. Secondary Name Server Contact Information

Provide the contact information for the person who operates this name server.

Check this box if the contact is the same as the Primary Name Server Contact	(If this box is checked, the rest of this section will be ignored.)

Last Name
First Name
Email Address
Telephone Number

6a. Additional Secondary Name Server Information

This section is optional. You are not required to provide more than two name servers for your domain.

If you are providing only two name servers then leave this section blank. Otherwise, provide the fully qualified domain name (FQDN) and IP address of a third name server for this domain in the spaces below. The additional secondary name server listed here must be operational, reachable from the Internet, and serving the domain in question at the time you submit this form.

Additional Secondary Name Server FQDN
Additional Secondary Name Server IP Address

6b. Additional Secondary Name Server Contact Information

Provide the contact information for the person who operates this name server.

Contact Information is:

Last Name
First Name
Email Address
Telephone Number

7. Requester Information

The requester is the person filling out this form. If you are the Technical Contact listed above, indicate this with the checkbox and leave the rest of this section blank.

Check this box if the requester is the same as Technical Contact	(If this box is checked, the rest of this section will be ignored.)

Last Name
First Name
Email Address
Telephone Number

8. Submit

Click Submit Request to send this form to OTS.

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