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					KUWAIT NATIONAL ADVERTISING & PUBLISHING CO. W.L.L.

                          TEL: 5745776 / 5745780            FAX: 5745779
                    Email: support@knapco.com P.O. BOX : 2268 SAFAT 13023 KUWAIT

=========================================================================
                               AUTHORIZATION FORM
=========================================================================

Kindly fill in your request or authorization, and fax it back to the above mentioned fax no.

Company Name: ___________________________________________________________________________

URL: ____________________________________________________________________________________
     (eg. www.yahoo.com)

Your Name: _____________________________________________ Dept: ____________________________

Contact Nos: __________________________________ (Office) _____________________________ (Mobile)

Email: ____________________________________________________________________________________

Please tick where applicable:
1. CD                   2. Design Change    3. Domain Registration          4. Domain Transfer

5. Email Setup          6. Floppy           7. Hosting               8. Hosting Cancellation

9. Other Services       10. Printouts       11. Support              12. Updates         13. Zip Disk


Kindly state clearly below:
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________




____________________________                                            ____________________________
Company Stamp                                                           Date & Signature of Authorizee

				
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