Dating Passport Application

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1st Class DATING PASSPORT
Consult with a P.I.

Your personal information, including your e-mail, is never shared or sold to anyone or any company for any reason.

Your personal information is not available on the Internet or on a PC that is accessible via the Internet.

As soon as you complete the application, your personal information is removed from the Internet and is inaccessible to anyone via the Internet.

Your Social Security Number or your Canadian Social Insurance Number is required in order to match it to your personal information.

The only personal information from the application that can be accessed online is the information displayed in your Passport. Your Passport can be viewed only when you provide your Passport Number.

All forms are published in SSL

. Identity Certification for Internet Dating Security

The DATING PASSPORT
APPLICATION

Your personal information is not accessible via the Internet or through an Internet connection to a PC. The annual U.S. membership fee is $89.00. The annual Canadian membership fee is $99.00. When you complete the application and submit, you will go to the payment page where you can pay with VISA, MasterCard or PayPal.

Your membership e-mail will include your Passport Password, Membership Number and a link to a log-in page where you can begin using your 12 Free ID verifications.

Name

First Middle Last

Social Security #
(U.S.)

For verification only. Your security is guaranteed.

Social Insurance #
(Canadians)

For verification only. Your security is guaranteed.

Date of Birth

Month/Day/Year: 00/00/000

Address

If Canadian, include
Street, City Province
& Zip

Street
City
State
ZIP
Province

Phone
Cell Phone

E-Mail

This is the e-mail where your membership information will be mailed. It
can be changed any time after you receive your DATING PASSPORT.

Previous Address

If Canadian, include
Street, City Province
& Zip

Street
City
State
Zip
Province

Marital Status

Divorced or Separated
(Optional)

This information is optional
However, most people
who view your Passport
will want to know that this
important data has been
confirmed.

At any time during your
membership, you may
add this information at
no additional cost.

DIVORCED:

Date of Last Decree: Mo/Day/Year - 00/00/000:

County Where Decree Was Issued:

State Where Decree Was Issued:

Province Where Decree Was Issued

Name of Spouse:	First
	Last

SEPARATED: If you are separated and have filed for divorce, complete
the following:

Date Filed: Mo/Day/Year - 00/00/000:

County Where Filed:

State Where Filed:

Province Where Filed:

Name of Spouse:

First

Last

Occupation
(Optional)

This information is optional
However, most people
who view your Passport
will want to know that this
important data has been
confirmed.

At any time during your
membership, you may
add this information at
no additional cost.

Company Name
Address
City/State/ZIP
City/Province/Zip
Phone
Occupation

Self-Employed
(Optional)

This information is optional
However, most people
who view your Passport
will want to know that this
important data has been
confirmed.

At any time during your
membership, you may
add this information at
no additional cost.

Company Name
Street Address
City/State/Zip
City/Province/Zip
Phone

Mother's Maiden Name

Passport Number

(8 - 12 alpha/numeric characters)
Your Passport Number is the code you give to people to access your
Passport Page for the purpose of verifying your identity. You can change
it as many times as you choose by going to the Change Passport Number
selection in the Members Support link on the top navigation bar. You will
need to enter your password, favorite city and membership number to
access the form. This assures that only you can make the changes.

Favorite City

This is your secret question to access the members' log-in page.

Promotional Code

Photo

You may provide a personal photo to be included with your Passport at no
extra charge. The e-mail that contains your membership information will
include a link to the form for uploading your photo.

Password

This will access the members' log-in page where you can change your
Passport Number and e-mail. You will receive your password and
membership number in the e-mail when your passport is issued.

CANADIAN MEMBERS: Click to print authorization form.
This is required by Canadian law. We cannot research your
application and issue a passport without this release.

Submit your information and review it for accuracy. If you want to change the data, click BACK in your browser to return to this page. Make the changes, then resubmit. Your final submission will be the information researched for the approval certificate.

The DATING PASSPORT
P.O. Box 255
Conifer, CO 80433
(303)-838-7261
customerservice@thedatingpassport.com