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Group Interest Form
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* Indicates required question
Email
*
Your email
Select Service (all that apply)
*
Live Scan Fingerprinting
Manual Ink Card Fingerprinting
Notary Services
Passport Photo Services
Apositlle Services
Other:
Required
Company/Organization Name
Your answer
Contact Name
*
Your answer
Contact Phone Number
*
Your answer
Date Requesting Services
MM
/
DD
/
YYYY
Is Date Requested Flexible
Yes
No
Other:
Time Requesting Services
Time
:
AM
PM
Duration of Services
*
1-2 hours - Applicants will be ready upon arrival and a Roster will be provided in advance
Applicants will sign up for your event via Sealed with Integrity website and Roster will be provided to Event Coordinator
Half Day upto 4 hours - Number of Applicants will be unknown and sporadic
Full Day upto 8 hours - Number of Applicants will be unknown and sporadic
Other:
Is Time Requested Flexible
Yes
No
Other:
Clear selection
Address of where services will be provided
Your answer
Approximately how many Individuals will need services?
Your answer
Will you need ongoing services?
Yes
No
Maybe
Clear selection
Who will be financially responsible for services rendered?
*
Company/Organization
Individual Applicant
Other:
Other information you would like to share to ensure quality service (i.e. special circumstances, language barrier, access restrictions, etc...).
Your answer
May we take & share photos on Social Media of your Event?
*
Yes, only of set up and event venue - no people
Yes, with willing adult participants
No
Other:
I understand that that Sealed with Integrity does not employ Attorneys and cannot give legal advice about immigration or any other legal matters. I understand that I MUST direct all questions or concerns to the Requesting / Receiving Agency.
*
Agree
Disagree
Required
I understand that I should obtain all forms or documents from the Requesting / Receiving Agency.
*
Agree
Disagree
Required
I understand that employees of Sealed with Integrity MUST be able to communicate directly with the individual receiving Notary services and that translators are prohibited by law.
*
Agree
Disagree
I understand that any individual receiving services MUST have valid government issued photo identification, which CANNOT be expired.
*
Agree
Disagree
Send me a copy of my responses.
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