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System Message Icon NOTE: If you are using a mobile device, always login using CLASSIC mode. You can find CLASSIC mode by scrolling to the very bottom of the MAIN page.

ATTENTION: GROUND HOG`S DAY is Saturday, February 2, 2019.
ATTENTION: PRESIDENT`S DAY is Monday, February 18, 2019.

Verified Member Application
With this form, you can apply to become a Verified Member. Please print clearly.

Please Note: For security reasons, this is not an online form. You will have to print out this form, fill in the appropriate information and send it along with photocopies of ID and Proof of Residency to the Administrator of via regular mail to the address below.

Step One Member Information:

Username: ___________________________________________
Password: ___________________________________________

Step Two Personal Information:

First and Last Name: ___________________________________________
Street Address: ___________________________________________
City and State: ___________________________________________
Zip Code: ___________________________________________
Country: ___________________________________________
Telephone with Area Code: ___________________________________________

Step Three ID Information (3a OR 3b):

3a) Valid Photo Driver's License:
3b) Government Issued Photo ID:

Step Four Proof of Business (4a) OR Residency (4b):

4a) Legal Business Certificate AND State Sales Tax Certificate: ___________________________________________
4b) Gas, Electric or Water Bill: ___________________________________________

Step Five One Time Fee: 1

$100.00 Processing Fee: ___________________________________________

Step Six Your Approval:

Signature & Date: ___________________________________________

Step Seven Mail Application:

Send completed form to: Joe Bodnarchuk
c/o payments
PO BOX 370
Buffalo, NY
1 This fee will be credited to your account and display as a Verified Member Credit. You may mail a check or money order with your application or make your payment online through the Become A Verified Member Payment Form

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