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8

P

rinted

C

ertificate

R

equest

F

orms

Filling out the Printed Request Forms cont’d

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.

é Third Page:

ü Purchase Orders (PO):

Purchase Order Number: Enter Company PO numbe , or ORC Invoice num- ber. Include your company name before the PO number.

Purchase Orders need to be in place with ORC before you complete the certificate process. Some POs have invoices against them that you will need to reference. See your company representative for this information.

ü Checks:

In the “Purchase Order Number” block fill in reference that you are paying by check and submit the check along with your completed forms.

è Fouth Page:

ü Requestor Name: Fill in you full legal name - full first name, middle initial and complete last name.

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

ü Notary/RA/LRA Name, Notary/RA/LRA Signature, and Date must be com- pleted by a Notary Public, an ORC RA or an authorized LRA. The Date of Commision must be completed by the Notary and the box to the left is for the Notary seal.

The Notary, RA and LRA are witnessing your signature. In addition, the RA and LRA are required to make sure that everything you have filled out is accu- rate and check to make sure that you are an employee of your company.

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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