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Filling out the Printed Request Forms

Once you have completed your on- line registration and printed your Certifi- cate Request Forms, you will need to make sure that you properly complete the forms before taking them to a Notary Public, an ORC Registration Au- thority (RA), or a Local Registration Authority (LRA).

Note: Do not sign the printed request forms until in the presence of a Notary, RA or LRA.

å First Page:

ü Read the instructions and note the address where you will need to send your original documents and copies of 2 photo IDs.

ç Second Page:

ü Read the Code Signing Certificate Subscriber Agreement (Obligations). These are the same obligations you saw in the electronic registration process. By signing these forms you are again agreeing to comply with these obligations.

ü Requestor Name: Fill in you full legal name (Last, First, MI). Complete last name, full first name and your middle initial.

ü Requestor Signature and Date: Leave these blank until you are in front of a Notary Public, RA or LRA.

ü Organization: Enter “Your Company’s Name”.

ü “1) Photo ID Type”: Enter the first type of photo ID you are submitting (exp: <State> Driver’s License”, “US Passport”, etc.).

ü 1) Photo ID #”: Enter the ID number for the ID type you are submitting. (exp: For a driver’s license, enter your drivers’s license number).

ü 2) Photo ID Type”: Enter the type of photo ID you are submitting. (exp: Enter “<Company name> employee badge”). (ORC does not accept photo IDs from Retail Businesses, such as Costco, Sam’s Club, etc.).

ü 2) Photo ID #”: Enter the ID number for the ID type you are submitting. (exp: Enter your employee badge number).

é Third Page:

ü Determine the Form of Payment. ORC accepts VISA, MasterCard, American Express, Purchase Orders or Checks (payable to ORC, Inc.)

ü Credit Card Purchases:

Circle the card type you are using

Complete the Card Holder Name, Card Numbe , Expiration Date and Billing Address

The information transmitted in this document is for the exclusive use of the person or entity to which it is addressed and may contain legally privileged or confidential information. If you are not the intended recipient of this document, you are prohibited from reading, printing, duplicating, disseminating or otherwise using or acting in reliance upon this information. If you have received this information in error, please notify the sender at Operational Research Consultants, Inc. immediately, delete this information from your computer and destroy all copies of the information.

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