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Subject

Issue Description

Organization Name

Name should match registered business name and tax ID

Legal Form

The Brand's Stock Symbol (If Public)

Legal Entity Type

Country of Registration

Business Website URL

Federal Tax ID

Registered Business Address

Please ensure registered business address matches address for tax ID

Brand POC

Person responsible for verifying the accuracy of this information if requested by the carriers.

Brand POC Title

The position title of the brand's point of contact.

Brand POC Phone Number

Brand POC Business Email Address

Please note, public email domains (Gmail, Hotmail, AOL, Yahoo, Outlook, etc.) are not allowed by the vetting authority. This person will receive a verification email during the registration process.

Date

Attachments

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