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Section A: Battle.

net Account Email Address


Enter the email address of the Battle.net account. If this form is to request the transfer of a World of Warcraft or Diablo III game license to a different Battle.net account, enter the email address of the destination account and the name of the World of Warcraft license on the following lines. Battle.net Account Email: _______________________________________________________ Destination Battle.net Account Email: _____________________________________________ World of Warcraft License: ______________________________________________________

Section B: Battle.net Account Contact Information


Enter the new contact information for the Battle.net account. First Name: ________________________________ Last Name: _________________________________ Address: _____________________________________________________________________________ City: ______________________________________ State/Province: ____________________________ Zip Code: ______________ Country: ______________________________________________________ Phone: ________________________________ Email: ________________________________________ New Parental Control Email*: ____________________________________________________________ * Only needed when setting up parental controls.

Section C: Battle.net Account Holder's Identification


Circle the type of attached government-issued photo identification: Driver's License Military ID State ID Government Employee ID Passport

For name change requests, circle the additional identification attached: Birth/Adoption Certificate Marriage License Death Certificate Decree of Divorce Name Change Certificate

Section D: Requested Services


Please circle the services needed: Battle.net Account Recovery Secret Question Retrieval Move World of Warcraft License Power of Attorney Verification Deactivate Authenticator Update Parental Control Email Activate Parental Controls Update Battle.net Account Holder's Name Password Reset Paid Character Transfer Dispute Removal of Parental Controls

Section E: Account Transfer Requests


The transfer of a game license between individuals may be allowed under exceptional circumstances, such as a transfer from a parent or guardian to a child upon their reaching the age of majority. If you wish to initiate a license transfer for such a circumstance, this section must be completed by the current Battle.net account holder. Note: Blizzard reserves the right to refuse any game license transfer request. I, the undersigned, relinquish all control and rights to the Diablo III/StarCraft II/World of Warcraft license associated with the above Battle.net account, which can be identified as ______________________________________________ to the individual
(World of Warcraft license name)

_______________________________________________________. Registered User's Signature:______________________________________________________________ Date: _________________________________ Registered User's Name [Printed]: ____________________________________________________________________________

Section F: Agreement and Signature


If this form is to request the transfer of a World of Warcraft or Diablo III game license to a different Battle.net account, this section is to be filled out by the prospective game license holder. If this form is

not to request the transfer of a World of Warcraft or Diablo III game license to a different Battle.net account, this section is to be filled out by the current Battle.net account holder. I, the undersigned, certify that, to the best of my knowledge and belief, all information contained in this form and in the accompanying statements and documents is true, complete, and correct. I acknowledge having read and understood the Terms of Use Agreement and agree to be bound by the terms and conditions of the Terms of Use Agreement. Registered Battle.net Account User's (or Guardians, if activating Parental Controls) Signature: ___________________________________________________________________________ Date: _________________________________ Registered Battle.net Account User's Name, Printed: ____________________________________________________________________________

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