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Instructions
After reading the terms and conditions of Sedos Member Certification program which can be found at the bottom of this application form, please fill out all necessary fields and sign with an authorized signature. Completed applications should then be returned to Sedo via fax or email and will be processed within two (2) business days. All information provided herein will be treated with strict confidentiality in accordance with Sedos Privacy Policy. Please Note: Members applying for Premium Plus Member Certification must also submit a deposit with Sedo to maintain the elevated certification status.
Applicant Information
[ ] Individual Name: _________________________________ Date of Birth: ______________________________________ Passport # or ID #: _______________________ Issuing Country or State: _____________________________ Address: ______________________________________________________________________________________ Phone: __________________________ Email: ______________________ Username: ________________ [ ] Business Business Name: ________________________________________________________________________________ State where organized: ________________________ Type of organization (LLC, Corp., etc.): __________________ Address: ______________________________________________________________________________________ Authorized Employees Name: ______________________________________________________________________ Email: ___________________________________________ Company Website ______________________________
Credit References
Banking Please provide the name of one or more banks where you maintain an account. Please include the name, account number, and a phone number where the bank can be reached. 1.____________________________________________________________________________________________ 2.____________________________________________________________________________________________
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Application for Premium Member Certification PLEASE RETURN TO SEDO AT + 1 617 499 7204 OR contact@sedo.com
Signature
AUTHORIZED SIGNATURE: ________________________________________________________________________ PRINT NAME: _______________________________ DATE: ____________________________________________ TITLE: ________________________________________________________________________________________
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