Valiant Internet Services Ltd

Change of Name Servers Request ( To allow another ISP to Host your web site. )

Please complete this form so we can undertake your request, We aim to process all requests within 72 hours.

* Same Day Service * Same working day Priority Service available, £ 4.99 ( includes Vat )

* New! Site Backup Service * Your Site backed up to a CD and posted to you, £ 19.99 ( includes Vat )

1. Your Details ( Please complete ALL fields )

Domain Name:
Valiant A/C Ref:	( Find this on your last Invoice )
Last Invoice Number:
Your Full Name:
You Are:
Email Address:

2. Your New NameServers ( Min. 2 required, Ask your new Hosting Provider if unsure. )

1st Server Name:			IP Address:
2nd Server Name:			IP Address:
3rd Server Name:			IP Address:
4th Server Name:			IP Address:

3. For Priority Service &/or Site Backup Service. Tick Box