Welcome to ModularTemplate

Account Change / Password Recovery Request

Fax: 416.531.2516
Attention: ModularTemplate Account Change / Password Recovery

I am requesting that the Password Recovery Reminder for my ModularTemplate/Shopco Domain Manager account be sent to an alternate email address. I am the listed owner of this account or I am a signing officer with the Organization listed on the account. Through supporting documentation, I will verify that I the rightful owner of this account and am including the required information and documentation listed at the bottom of this form. I understand this may take 2 business days to process.

Please provide us with the following information that would have provided when you setup your account:
All fields are required unless otherwise stated.

Username:

Full Name:

Company Name (if applicable):

Address:

City:

State/Province:

Zip/Postal Code:

Phone Number:

Email Address:
(current email address of record, not the new email address you wish to have the password reminder sent to)

Listing of domain names in customer account:
(if you have multiple domains in this account, list up to five (5) other domains that are associated with this username.)

Domain 1:

Domain 2:

Domain 3:

Domain 4:

Domain 5:

Email address you would like the account password recovery email to be sent to:
(The Password Recovery email will be sent to both the new and previous email address of record)

Signature of Requestor:

Date:

Required Documentation:

If this is a domain name registered to an individual you will need to include a clear copy of a government-issued photo ID such as a driver's license or passport

If this is a domain name registered to a organization you will need to include:

This request printed on company letterhead (alternatively you can make a written request on letterhead and included the same information on this page)
Business Registration or Incorporation documents issued by your government that bears the name of the requestor
A clear copy of a government-issued photo ID (driver's license/passport) connecting the Organization to the Requestor listed in the registration documents

A note about Photo IDs and Fax Machines

Faxes send images as black and white without shades of gray. As a result, a photo ID sent by Fax can easily come out as a big black rectangle on the other end. To ensure that your request is not rejected because the photo ID was illegible, try and take the following steps:

Lighten the photocopy so that the text of the ID is the darkest part of the image
Enlarge the ID by at least 200%, or the entire page if possible

These steps are not mandatory, but lowers the risk of the request being rejected because of an illegible photo ID.

As an alternative, you can send a scanned copy of this request (including this form with a signature and Photo ID) to admin_support@shopco.com

A note about privacy

The identification information being requested is used solely for proof of identification purposes in order to update the requested admin name change. This information is not used for any other purpose.

Photo copies of the identification may be submitted with any certificate numbers blocked out or removed.