Creation Certified Verification Request Form
Name of Professional *
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Reason For Request *
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Name of Requestor *
Please provide us with your name so we can get back in touch with you.
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Country of Origin *
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E-Mail of Requestor *
Please provide us with your e-mail address so we can get back in touch with you.
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Verification Request Acknowledgement *
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Cookie Consent Notice *
This site uses cookies to offer you a better browsing experience. Learn more about how The International Association for Creation uses cookies by reviewing our Privacy Policy, along with our Cookie Policy therein (READ PRIVACY POLICY HERE: http://associationforcreation.weebly.com/terms-of-use--privacy-policy.html).
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Age Verification Process *
By submitting this form you verify that you are the age of majority within your jurisdiction (US: 18 years of age; EU: 16 years of age); if you are a minor, under the aforementioned age of consent, by agreeing, your parent or legal guardian is acknowledging that they have reviewed our Privacy Policy (READ PRIVACY POLICY HERE: http://associationforcreation.weebly.com/terms-of-use--privacy-policy.html) and consents to the collection and process of personal data contained herein.
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Electronic Signature *
Below, please type your full name, as it appears on your driver's license or government-issued identification card. This will serve as your signature, certifying that, under the penalty of perjury, the above is accurate and true.
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