Domain Name Approval Form
LSU Trademark Licensing
LSU Campus
*
Please Select
LSU
LSU Pennington Biomedical Research Center
LSU Alexandria
LSU Eunice
LSU Shreveport
LSU Health New Orleans
LSU Health Shreveport
1. Department/Organization
*
2. Contact Person
*
First Name
Last Name
3. Phone Number
*
-
Area Code
Phone Number
4. E-mail
*
5. Domain Name(s) requested
*
6. Is the Domain Name already registered?
*
Yes
No
7. Current registrar
*
(e.g. Go Daddy, Network Solutions, 101Domain, Wix, Dotster, dnsimple, etc.)
8. Are you interested in more information about transferring the Domain Name to the University's Go Daddy account?
*
Yes
No
6a. Would you like to register the Domain Name via the University's Go Daddy account?
*
Yes
No
6b. Number of years to register
*
Between 1 to 10 years
6c. Worktag/Account number for registration fees
*
Forwarding info/DNS info/Additional Comments: (Optional)
Additional Supporting Documents: (Optional)
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Trademark Licensing Office
To be completed by LSU Trademark Licensing:
Domain Name Approved
Domain Name Disapproved
Date Approved
-
Month
-
Day
Year
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Receipt
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