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Apply for The DATING PASSPORT
Authorized Agent Program
1st Class DATING PASSPORT
Consult with a P.I.
.      
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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 .
Official PayPal Seal
 
 
. 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
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