BLANK Package Order Form
BACKGROUND & EVICTION FRIENDLY
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PACKAGE OPTIONS
Which package would you like?
*
BASIC PACKAGE $200
DIGITAL PACKAGE $365
MIXED PACKAGE $485
HARD COPY PACKAGE #1 $600
HARD COPY PACKAGE #2 $800
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Name you want CPN under
*
(Full name you CANNOT USE YOUR REAL NAME PICK ANOTHER or switch your name around!!! EX: Katy Renae Smith (real name) EX: Katy Allen Smith (CPN NAME) EX: Renae Marie Smith (CPN NAME)
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Birthday You Want Cpn Under
*
EX: 07/16/1995
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First five numbers of your original SS#:
*
EX: 123-45
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Your ORIGINAL Birthday
*
Ex : 04/10/1982
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Email
example@example.com
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Height , Eye color, Weight
EX: 5'3 Brown 235
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Photo for License
How to properly take photo for license
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A photo of you in front of white wall from a FAR distance
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FULL SHIPPING ADDRESS (FOR PCKG W HARDCOPIES )
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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PAYMENT OPTIONS
*
Please Select
Zelle
Apple Pay
Paypal
Chime $poohapprovals
CONTACT FOR PAYMENT METHODS
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Have you Submitted your payment?
*
YES
NO
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Screenshot of Payment
*
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IF YOU DO NOT PAY, YOUR CPN WILL NOT BE STARTED ON!, I will NOT proceed without Payment !
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