Samplename
Samplecompany
Sampleaddress
Samplepostcode Samplecity
Samplecountry

To:
deLink GmbH
Alsterblick 35
22397 Hamburg
Germany

Telefax +49 40 64419431 

Samplecity,  31/12/2016

Declaration of Consent to Transfer of Domain 

	sampledomain.de

Dear Sir or Madam,

As owner / Admin-C of the above stated domain I hereby declare, that I give my consent to 
transfer this domain to:

New Owner	New Admin-C	
Firm/Company
First Name, Last Name
Street Address 
Country, Postal Code, City/Village
County/Province/State
Telephone
Fax
E-mail	
First Name, Last Name
Street Address 
Country, Postal Code, City/Village
County/Province/State
Telephone
Fax
E-mail	

	Please, facilitate immediate transfer.

	Optional: Please, render consent to immediate transfer of provider.

My regards,

Paul S. Sampleton  (signature)					(firm stamp)