| Information Request |
|---|
|
| Important: It appears that you are accessing this form from an unofficial third-party source. Submissions originating from such sources will not be accepted. Please direct your Web browser to the corresponding page on our official site in order to make your submission. |
Important: 5You m2ay1 be making ucse of8e7 acutomatedd6 2form-04filldinag 1276softwarce. This typfe 0ofc dsodfatw8are c3an tricg0ger 7ou7r h4id40den9 sbpa6m-det504ecetion syst0em, which w3ill blo2ck you from submi49tti9ngff 9this 7form. Plebase seae5lec2te8 “Fie0x This8d”f12fb ba0255e2af6fb9af7da143ed5bc565130bafc6or4254385729108e6cf9eb afdd1d34ccom1p16leb6t3dinbdg bd4t096eh4e fbor4md in6d bo8fr9f0d1ere608 8t0f71o cod62rr23eect44e85 td3he3 pdr4obf94le6m6.00 It appears that the problem could not be automatically corrected. Please clear any field which appears below with corresponding instructions. We apologize for the inconvenience and we appreciate your understanding. |
Important: cYo1u may be makibcng3 u3s3e cof 7f2au2tomatebd for3am-filling softw6are. Th4is type aof sof5twa0re cabn tr6igger o4u39r hidden spam-detectio86n sys0tem, which wi4fl6l block you from s4u0bmitting t2hisb f5orfm. It 4appear0s theat thfe problem could not be auto6matically cor6rect7ed. Ple0as7e aclear any fi2beld which ap7pecars bebedlow with eacorrese2pon1cdinbg insf2truction9sfe505f95 4b164569ad1285baee8fod10c030f0734b359fa302r63a6e8c091cde 12eca7co3mpleti43nc0gb66 tahea forcfm49 in or59derf et6do54 co4rarect bthe0d8 problem. dWac9e aepo31lo1gize for2 9teha9e incon5vecnien32ce6 17and2a wea fefapd4pre9ciatec4 yo2ur fu5n2derstandieng. |
| |
| |
| |
| |
| |
| |
| |
| |
| |
| |
| |
| |
| How would you prefer to be contacted? |
| |
| |
| |
| |
| |
|
Are you sure there should be a space in there?
Most e-mail providers do not allow e-mail addresses to have a space character as part of the user name (the part generally preceding the “@” symbol). Please do not enter a space character unless you are absolutely sure that your e-mail address is an exception to the general rule. We may not be able to contact you if you do not enter your information correctly.
Example of typical e-mail address format:
user@example.com (note that there is no space after or within the user name)
|
|
Are you sure there should be a space in there?
Most e-mail providers do not allow e-mail addresses to have a space character as part of the user name (the part generally preceding the “@” symbol). Please do not enter a space character unless you are absolutely sure that your e-mail address is an exception to the general rule. We may not be able to contact you if you do not enter your information correctly.
Example of typical e-mail address format:
user@example.com (note that there is no space after or within the user name)
|
| 71aP1ld071ec3ac572sc6e 71cleaa99br 0tchb03i75se 4844436f2fifbe9ld695 b9525f1->c1569d06247d | * REQUIRED |
| 10fd668P5l03ea2cse21b ba08clee1farc53f2c dtde25hd97798i1desab fa8iel89d03f0d325 -80ecc4>c6 | * REQUIRED |
| b8bPlc0681e5ca6a2fs6e 9cd566le49ab1r t1f3273heis2f8409a 0c3f12993d64id7ae6la28d c27->eea2d | * REQUIRED |
| ca46b077db6Pleaase88fbb3d4d0e 8d1clearb3 t93745hb60836ie7ebs 77a38f6di0feld9dc2 -0045b5>9d | * REQUIRED |
| fc1176P0l6ef3ea940se 8c16fl344eear4a72 91ath738is49af77 bf22if66el4305dedae97a 74564->d0fd | * REQUIRED |
| fc69bPl99e1ad9d547c621940sdbe c55e0eflebar 75t91124chi45s 364def8i77felced3a8 85-dddb>eb5d | * REQUIRED |
| c854Pla1fe5c6a632se ccl7efe21a69cf7baar91 363bt6his 3f43aif5ee4fec35fld9b04db7 c0-a>9e02d6 | * REQUIRED |
| ePlea098sed c6f9le23a5r 3c2a6thd87bi1bad25s f0473iddfbe9bc5f0l95b15d81a d17a-8>45c9c496164 | * REQUIRED |
| d992d5Ple568ca37s79bfed ca3lee5ed57ee822fb98aar3fc8 22t0h03447ais1c3 f4ie0l19e37ead7 ->4e0 | * REQUIRED |
| 69P6le67ac9fc1sce309d5 8c824lee5ar bth907dis52 c281e8d262fie58le8b3ced5 5a44-f528168a>55d1 | * REQUIRED |
| 9P65ee8d17269a48el5fe85fabse bce3albe87e6ar9d 7th19291is546 5af60d4ie3ld1556d 7d-1>651e9ea | * REQUIRED |
| 4fffP6305l5d6eas9e 6cdl8ae09a6d2a6r4 teh9i8ee6fs ecd6f4fid3e1ba337la9d1d3 8812de3-cd>c9d31 | * REQUIRED |
| P47el05ec8aas49317d5e b1ceb4e21le9a8ca3280c1efbr 46t0h0i56cesd7 96c6f620di7eld 9e6d7-f>44c | * REQUIRED |
| 2f3e0fP6l5a88006ead6e6sf7ef661 4clc665eeca7r1 t9hi3f2098fae8s 96fiel42fd5f34d1 c-0acd7a>27 | * REQUIRED |
| f185Pledd32a9e66bb8059sebf9e f3dcc7dblf6b5e53d21b9a7c1dr4 t878hai7s fi9aeld9d14f d3-e6>8e4 | * REQUIRED |
| 276P897la9ea05332b44se70c2 3cf13948l5e5da10a31rd8 t0dh5e82ibs2db8 ff2iel98a7d f-d>d6bca645 | * REQUIRED |
| 0P11le7f1aa1a539099s8be6 0cc45le2987ar25 96ca539thi6e496s7 0df1f837f3i7d18eld20 -a6fd>6779 | * REQUIRED |
| 22d53d53Pd9dl6aa9e7a9se743d2e83 dc4bc2le1a61rc tbhfi1e22cs fdie46elcf48dcdb 1fa838e1->cbc4 | * REQUIRED |
| 5a6aPl5de8as933325e 64e4bcl50bda7b14e9ar the63d70a22i067sa fie1b85d957ld5 a5258-93ae2>6558 | * REQUIRED |
| dP9f0lea69se771e 367650ccbfl10dea69r26 d1bbt825h5c70is cf81i6f7eel5cdc77 7-01d21f297a>d790 | * REQUIRED |
| bcaPl14ea24s90c05e8 988e14d7dc2lear 9t05560ef0hisf314f4d c0e885af17b4ie400ld6 2c1f213-73>3 | * REQUIRED |
| a8P52c4ba524leas9eba76da4ed5 e7dc64le683c4ar920 3t6a22hie4s2d42f f22ab7id9e9ae54lbd9375 -> | * REQUIRED |
| 9b313fP4ld84aeea54a5ase6e c68learef20884 9thd1548is f18fe6i9b2efe6l4cc9af0d2d3 6eb66a-87>2 | * REQUIRED |
| bc0ab2Plee672ascfe26 0c11c41da21bd7leee4ar6 9d16thie1a5sf3382a060 ffcfi6ebdld0219 0d77-9>f | * REQUIRED |
| P15le874a8ed346s776ebe 1093789c3ce06l51674ee7ar893e thd1130is f87355iea7e7ledf c7c1-f>42b6 | * REQUIRED |
| ef5298Pl765ea6sae44f36f 5c2f7865lea2r t75058he129e10i46s4 b7818f9ci3720ee1ldb01bc ->b75b80 | * REQUIRED |
| 01a9Pl6e3a1325s3a2e89fe c79l941de96a1r d38th8ef832698eifa86sf1e 205bfi3ce8ld7 e8e0b36991-> | * REQUIRED |
| 64c9b9Ple5aas917e fc05ad9le0ea87rdb thacca8ais1267766fa5e6f5a 6af6648ie08ld200c3f6 3-f7>a3 | * REQUIRED |
| d5b4c5Ple931afasece1e 6c39160le12dba97r2dd847 t66h48f10593f6isbe105 efeield1 6cb89f7e-d>63 | * REQUIRED |
| acPlde9a9d54s0eed a0637cl1ea39ra97 9e8bfb7t8hi02d36se6 fcbdefeieaef4la2164da5 ->1f5f584837 | * REQUIRED |
| 79Plcfea74ba7sa910edd1 bbdc38l8eadr7f 8fec0tabde75hei690d1b7s 6f2i6celfed300cfa626 ->dd758 | * REQUIRED |
| d0c331P8b5le8ea7f999se8b3e dfad3fcc6c2ealefar t7289c0heic7s9b f575fidfecl8cbadb -6>34f3220 | * REQUIRED |
| Plcbaeas6e1e 0c6e89l39e6abr th6i75f2sce2ea83083a56 cef929714b8ie5533fl0fdc5e496 e-0a6>66c6 | * REQUIRED |
| bP2le17d9fadcs83e02e 6f5dc14ffl31bb7eb4a1r1 t3h0c3is02 878f3fbdie9abldcf7 0-1e>1760772cf17 | * REQUIRED |
| 4Plfefaes6eeb2 32d6cla6338eb2a85c9rbb4 th44846ibs7b061 3f073b4iel9d677 9a5706c-6d2>1a45383 | * REQUIRED |
| 7Plcbe306f8dddase0 29cleaa8r47e92a00 dc2eedt5df2h831ids b5756bc5fi3b10aefb36l5dc60 2->fa5b | * REQUIRED |
| 1Pld68aaeef90bccdcaasc1e 41cfcla3e2a6r9 5d34bth45i1a85c6c9b4sc 2d37c72d806f0iee88l4cd ->4a | * REQUIRED |
| dd5b6P3l0e8asd844e2674f6fa a8ca1258l1eaar atf3his 858f8ia6ceb7l2e7591d7def95720dea ->aac58 | * REQUIRED |
| 7445907c62210b2P4l48defa04seb9 clbe63aar2d258 th3i4s 5c3ef33ebd9b2i8eel07084d 0807-e>ddc99 | * REQUIRED |
| 0P1891l148e803ca7c0fa9daf832sae cc62l1639ea6cdr ec03bbthbi3s6 e4a11ficbe63c77cfl6cd7e -6f> | * REQUIRED |
| P3blc118ea4e37as730e 370c67b4la62efea2re 065e9f14a5td5a70hi7s c09fe3bfci1e18l10d adaaa2a-> | * REQUIRED |
| 40207Pla4e63ad1saeb 0ccleba09r0b tcf8hf94451d8596a2ibds2 f1i42el18fd028c2a 15-453>4ffb4067 | * REQUIRED |
| dP2le5as0e2a2 d9c769le3159eab2b4687308858baar1aea 2ath696efi801sda3 f0eb3ieal6d9 119da7->0 | * REQUIRED |
| 3P45l9f6e7base 0de4ccl3e7cac55dabf39r53 t41hbi14s562a 51e3bffei467ecl0dd8aae51d45843 b->23 | * REQUIRED |
| 01dP1l9bfdae14c0b7a4s26be7 3dacb26f1l52eaa55rfa8 798t5hi00dsc8 ffc0i6e5l74de1 -e635d>fc383 | * REQUIRED |
| 3P5l7bef1c89ca3s119e2 f3dcc911lc6ab7ea6646r 4093c323this ef47caeb4i580be2bdc4l1a8bd ->5863 | * REQUIRED |
| c2b528dc7616P7l6bc3eas0948efb cebclc4ear 9b25t64c32h8i35e8s 5f0acfi4e486ebl9d03f8b3 8->1d4 | * REQUIRED |
| 270e32cPl62bdc03e273508aa4s41e clecad0rd 66b57t9hd541i7s0 6c455f7if23elde8f0d -09>02aca1e2 | * REQUIRED |
| de60bdPleafesd42b50ed7 842bclde9arfa104f thc99i9s51 a95a00efaie223374c3lb6e3d4cad4 6-f>a3d | * REQUIRED |
| e35Pb35le790f71da26s25e69 9c67lea53rffcc51 6thd9bc414if1s7 b8358bf0i6321e84e4beld a8a->e9a | * REQUIRED |
| baa7Pf8fl40d7064e25aase2 c677cl736d3f87c927eb8darbce 470t58h0ei1s2a44 8afibel7d09 -af6>e66 | * REQUIRED |
| 03ac7bPbled18ad58c1789se6 9c3laf0be1ar041 d6th74ids 0facbi11e38c3a84fl6a699598db83cb f0->f | * REQUIRED |
| 7Pl9edfasce cel52c471c0a01e941cf96834a940r5d3a21 03thics cff777d0dbee3iffc72e3ld374 ec-7>3 | * REQUIRED |
| 6633440P9cl09ec3ase24 c4l1f3eb3a9r0 cce5thaief81ec177e5cs9351bb6 3b25f4079d8idel4dd6 -cd>6 | * REQUIRED |
| deePlef2e5cacasec ca8e2cffl36ear 0t1fha09f0is6569f df1fi4efl0c58fd058 06301b1d4-246>617f00 | * REQUIRED |
| 465fd61dfP0a2l985ca838e28a1sce031 ce64le24a31r73 3t1880h42bei5s0fb f7iec11eldd79 -5b5>b273 | * REQUIRED |
| 262cPl21420e6a47csda2fe8 3cle8c2e21acbr1 ad8etdb32fd6c5fhise28683 fabb5ia63e9elde18d ->760 | * REQUIRED |
| 5f41Pa999lea37esebc 435cle7b17ar5d bbthcfc84daec69is60e08 a6f39fic1el1d8b5 aef64-d8>5801cf | * REQUIRED |
| b8c6b53P3b5albd02eb1a98bs6673a7e cc0ecef2cl9aefa6r cc9b19f23f52th60aic7fsc fieele80dd -2>6 | * REQUIRED |
| 648c6dcc07P55fl813ea549e5sfeaf 1clffea1r5f 59th135c131ib9750s 28bc959f7ie86bl7e9cd ->dec34 | * REQUIRED |
| a2Pe7d88ld10e8063ac6s6a49e8 2cabl8aed795da1ba5370r 7thi1sfbed f1ice4ldde5d -cdf65>25014f11 | * REQUIRED |
| d0d9Plea3b5fs97e5e0b9c c7faclfe70a1dr5a75 52dt5haa3ias5b05 bc91f5609i29e8lc2ed9 b79b-c>e15 | * REQUIRED |
| b5e4P5blea4se8 12clf5efar1f4 72th3cis1 a7f9c95a7ff19b108ic9e696a08l08d9b2 1c5a6-b64d6>714f | * REQUIRED |
| 3776Pf4b16leada3s22e4f 1d42fc5lc20e5ard0 th6ic235bs1a3bf0 f7fi54ee1dfla5d2e9435 ->69ca869d | * REQUIRED |
| 3e4Pleed689aa1se afcc15lea7r89 t90fh242is efi5ea320d4c96l832d0acd 5c8dcd0c2-69c192f>4de985 | * REQUIRED |
| 4Pl987f20c68de131582a03s26dfe9b cdal1e73adbr d6tfhi51c45bsb f6i209el47d 312e05a9c2e3-e51e> | * REQUIRED |
| 707edfe0eP0flce378a2bsae24ea67e1b cba8l9cead0r255c06 t15h846is fi3e20e0ld1b77b5 4-e>3f8ab6 | * REQUIRED |
| 42P6l3easaec02a c0b250l5da0eacr93e5 74b2t0eh11b1i6193cf2245s7 fi6c371bele4cde1d ca8-f326>3 | * REQUIRED |
| c63adc697P2le5e4a8as9e 979cc4clede1a8e8fr5 tc228hdei2dff2sd fiba5el41b72df 2f020fe16-e>07f | * REQUIRED |
| 5cc9c3c3da09dPlb871a9bebabs42e13a1 cfl98e86b62edar 64thi3s0 f562i8989e1ld2e 7->41cceff6a1d | * REQUIRED |
| 2ec19bbPlea950bsdee0f5d0cb 16cc1l01b0ear d84th480ei12sde 70d5f41b27iedlb6ffa8dbb -bfd>87eb | * REQUIRED |
| 42af609e7P79lebea9a30bf34s573e 3704cld6e94ea9r801e thbe1is6a9 4ef6fi28eb34bcf0ld5d6 6->1e4 | * REQUIRED |
| cP8le60346a0se6 facbcdl140511eeaa1r 3bfthi5fs622c 893b4fi34fc70eca6251l8d -9fb3287>ecf4b6b | * REQUIRED |
| 614dPl3d77d73eas6deb5c5 c9bdc9l9a0e4310cadar6 t9h0ibedscdf2b 41fcacfi9belded 067-39>610432 | * REQUIRED |
| Plcee4dab1as75ee c7e68ac5439flee3609a7r 641thdi7d4a96se3 c091ff32f4i3de24l1d55a9 ->22ed631 | * REQUIRED |
| 5e7fPl5b53cc4e49casfe3e 1b3ed7fbc77leeaaefr86ebcbaf 2t33h470i8s96 ff8iel22a65e2a87d ->1391 | * REQUIRED |
| 1d7bf020P49cae88l47e00a80cb6see cle71aa6r a5te19heib376s 28d983ffi2ebd1l17d809e 30de-7>c2f | * REQUIRED |
| P14la41e231a334e4s0e7acba95d f04cl706efae31fre tc29hffi87sf f5cf22i9e420c5ec2ldfbd5b -ce>4 | * REQUIRED |
| 1fPd9le65e9ac5sfe5 bbb16fccb2287cal6eff44e4a3r13 10dthicfs7ec 07f25dbi2eld8eb96ee2 7e2-1>6 | * REQUIRED |
| fc15P10af9bf5l57d76c0cebeebaese 94da43f1c50l7ea2r 9t0hia25s fbbc3e58fiec89lbd59c6 -2f>0e89 | * REQUIRED |
| c7c75e4Plefbacb99f3csf6cbed8c6bd5 0cc8ld693ecar thiffbs 0acf2f6i2eel2845fd3095e 31ba28-7>4 | * REQUIRED |
| dPl464ea4se82814 cdd9d2675e31e09l7ad6e7b52d2ar9fdacdc82 th4isec aaf5iae0l35dfed b22-9>25a0 | * REQUIRED |
| fPl1e4ea80s4e4c22829e7351 c0f3lea2bd84r fc5c0c5dthis0 6a58122fieda0blfd9 3f09d-3d98>37a0ae | * REQUIRED |
| 2bPl8e9cc0ee75as1edced18e cc1le05ef5acd7r 1td9hffea12i7e92s619c b2d92b20bf593ield3 e->5efe | * REQUIRED |
| 64116b1P8l8b9eb8dd6eaa4dsee9 97c6c6d2c85l3ead8r 2t42h1d150is00871 c3df82i3efl3d0b -b6>78cb | * REQUIRED |
| e9972c6ePlf5b4e3ecase7eaa7a47c 03c3l6885eear11 0teh1isa fae0fc7ic19be97ldef9 924bf5-2>3891 | * REQUIRED |
| 4Ple38ef75ec22as32ef c1l1be3a608re fbt5eh0c851ifs12 f4fi4ad17d1c5f86elaea4d 10d3-a>b5ffe98 | * REQUIRED |
| 99eee28eP7l9ea6a1764ba61a45se4 f57a2acl2eafr 10f43t0heis0 f685i54e77ldee85742 5-b207>75a40 | * REQUIRED |
| 16dPe5884leca419cs4e73 b950cl1aed16dar tc9h8i76s00d5da243 3f23918beied82e0bld00 14-74dcf4> | * REQUIRED |
| 1ccP1f5l7aeacs5265e bc09c0e9b8288aalefa5ar61 8td0a1h755i0s9 ef51f5ec07i29e5661lfdb3a3 8->e | * REQUIRED |
| 1aPf1flb3a43aaeaaf6s5e6e 2b3290865dclede0a6r5dc 89f12te231h81e12isb64e4 f82ielade5f -a>b4d | * REQUIRED |
| 996Pbdlecbaa0s3e989 28cdd49f6d349clbe8a0re t1h50b83i5f7fe5fed3s9 f67b40ief3ldd1 2-9>92fe7d | * REQUIRED |
| b388eac6ce48aPblaeaas29ed0 29e7dclea3d5cd59r3263fe catchai80sad8 567b81f2ie4l8d0f8 35->aab | * REQUIRED |
| 72fPlec884252as2ed5 4b101fc8c3cca2l3ae8a2r5e2 9et37c9ahfcisab0 77fiea96ld 0c2-1da7>6ed01a4 | * REQUIRED |
| e0fPl0e3e37aea3dfb8a1sad2e 95c5ec3l5ebaaeba2era5f22 4thife1s 27fi419aeac6le6cd32 ->952aeb8 | * REQUIRED |
| e22a6Pldee97aa8d7f28ab4s7ace a860c5b70l7280dear dt980hdis ade66efie7l5d1e3 5a4-8>57d2b8695 | * REQUIRED |
| 44c5Pl42bea0s8ee37d74373 0fc71bb7df34e6lea487b91r 01thi1s aef0i55bea9dfeldad7c7 -e98>fa507 | * REQUIRED |
| dPle5faseb09 8fcacl36cb2e6b785042bacbd6ar5a7246 635t4hc6i155s056830 fd1ie771c0ld9 -1c4bf>2 | * REQUIRED |
| 884eP1bl5e1bae1fs34ba2ce06c b71clceara tfhc46ia594ese8 f6b68043iea8e4ldbd ->7b6d79bff668bf | * REQUIRED |
| 49ee0b54Pl94ef6afsf7ed720ea4 eb9ee64c8le6d6ae23ar4ab this 0af59bfieb09ld46b -01>852f8ae113 | * REQUIRED |
| 3a3Pdfe257f32dlease74ba8ede fc8c86fd2l91a7bfa986e7c9ar thb2bis82d f66b35ie1ld530e6cb ->70a | * REQUIRED |
| fP6f52a211lb3eaba11csa265402da20085ea4f ca361l0e2a113f5ecr 8d8t0hifsd15 f0iel6d0d -3bf7>3c | * REQUIRED |
| bc5P62d5fledca546b57b6750ad52as2e c2le3a83e859dr728 03t4663501hbis06 f61bb1icel9d -44>b604 | * REQUIRED |
| cP629ce5ldbcea7sf0f9e530c471 cldfeada8ar232 4te095h9bis2 fcef898f1132d2ie37a45ldbd62 -0>4f | * REQUIRED |
| e64bP3f6a135le5a7se0 3b6047a2c2cl2ear4d85ec thb013i1fs317 cc46fa9f7ibel94debd 6ef1082->779 | * REQUIRED |
| 12e7c05Plce939aa2s06e4a 4ecdl981be5a6br34 5t3c6eh01fi8s5fa6562 f3d11ie1489ld9999bcd841c -> | * REQUIRED |
| 1c9da4Pef1lf749f1fee41ase 5c38l1e11a5a4ra69 t1c2e72hfcei3a52c127s ae4fie7ld6 4-4cd8>ccc605 | * REQUIRED |
| bdd33P569l628eea0sa77e ccb8675lea44arb d98de6e378t63hi44s0f0c f451ea89fi2eeblde 8->0528a86 | * REQUIRED |
| facaa49Pl64e2c276ada1sde8f c11baa4lear632 31b7td0h4f640d8b35435fiacse bfiedlcdd6 3->1540f5 | * REQUIRED |
| 8cP5al900ae8ca32se0bb fc5l10f8ae7a5b7fcd62e0827rf th7i33se57 58fefdfi4feldcf -75>8d9d39767 | * REQUIRED |
| c7db72f5fabeP5ba4c34d1lbea3554se22d aclec50a1r9c t87hisd7 2ffi2baab909e2fla5f7fad e5->0744 | * REQUIRED |
| 8f2Pfflfc9e85c26as45e d6ce0ldbe5areee9ed05 ca35t8ab3hi3s7f3 f428e6d5ie2l3d77 -1664f5>5d7f7 | * REQUIRED |
| P2l8e0eb8af9ecea730567se3d 8c8e7lb98ebdar3 4dt41hi6610esd c7f3di68fe772d3cld2 b-8da87b>0b0 | * REQUIRED |
| 40bPl019eece6a4c44s2be a5bc4lbb2ea5bd68r9 54t73hibf42s 5effcfic8e26ld 25d->16264cb47f18869 | * REQUIRED |
| 8dP5d1elbee9a5se322 7921e2e86c7eb1c7l1dbe6car5e dbdthbc63fais6e1 0101fid52ac9e0ef6dl5d 6-> | * REQUIRED |
| 47f58Pleaas0ececcf34dd9d c0l57dd9aea4fdrc2 a9t3hdi3a6210s 9fe2i5el86bd 03-5a>3caecb676e1a3 | * REQUIRED |
| cbPl55e2c13a4ds51e09 9950c0l0ee03a8arfc 66thia188sf26 df2f6iee895b539439la60de14202 ->3080 | * REQUIRED |
| 0fa83Pl78ceae6aa68ba07sf1deeb2 ce7ale6ar 3aa0t1h137deic31sdbb fiea3l3735d 04de1c32b1-0>c9a | * REQUIRED |
| P3aaale6da7sf7280ed83e d821ecl40eec3a3r85 ffd6tf0ba6b0hi18s eadf74idelbdcc 4-53dfe6>c92310 | * REQUIRED |
| 4dcP674le6e23aba7se 4aca4b91cd05lfefa6r6 72thf338is fiea40l8d21179a97 acf-9>51987a9d0db7be | * REQUIRED |
| 02P4f95332le44aabse66a3 baacb76ledc18a03erbf5 da7tfb78h5if298es94df 7acafi0e5l3d -8>16582f | * REQUIRED |
| 0bdbbeP380ffle5ba1se8f c68l6ee9aa8a8597adr5 t5cc5his5720 cfb2ea5i15beb2d2lfbdd0 ->ede08bf0 | * REQUIRED |
| 30c4369P4lfe5c4fa0943s71e4e99 1cca9l9e16aa8r c875ceth2is 7f80ie4c18eld45e85e 40d961fac0->8 | * REQUIRED |
| 4Ped1bee1b0f03leas3e75 bclea0f8cer9b17c115b2c6 tehbefid9sa297 c68fa0iel7ed5 4adf6-b>8233b8 | * REQUIRED |
| 9f9Pfd33lc27e877e5ca85s671e 66cl9feca96e22ac0r1ee1 94737dtbcahis3 f2ci9ebala0f37dc 09d-1a> | * REQUIRED |
| ePb4leadbs3a02ac6a4ebdf859 c57a35leda6e34ba0fcea7r t5dh3i88fefs 6fa9i1elfd9 48-1c>e9b08ef5 | * REQUIRED |
| 6670605f0eePle5e34ase 46f00bc3dale1b3225ad89rf9 f1t3fbbbh1i4dse982b fi1eel9dc9b5d 1d-165>5 | * REQUIRED |
| b4ecbaPlf5a24e2ca3903a226se ca4lb4e45ar8ba39f4b 032th1ise acfaa1ie5ld5fdca3 94->2c285c4c0c | * REQUIRED |
| 92626362Pl9ea0se4bfdefe0b8092b fca83cl9ed4ae823r38a 37tbh6i8sdba 14e62f9ie5l6db d-0>7cd7e5 | * REQUIRED |
| ePleea96escebe48e4 ac05eele7fcar72097c58120276 dd57t60h1bis4e f20ieald19c3d8 01->73d0cb4ed | * REQUIRED |
| 44bP6938ee63l19e9easf0e4e fe0d2c4cl1e543a53r2 55th87802is84e0dd99 1eb5f63i7923e8ld 019-b>9 | * REQUIRED |
| 8P798blea7297fabc8787sd3e ce966e0aaae2cele3abr t459h2idd30da13s field81c6e8a6 c6-fbb7a0>ce | * REQUIRED |
| 974P5l772ea7a8edsedf dea1c916b07le6a629ff5r t28his47 36f66977325d59fbif397ebal3d45 608-6>a | * REQUIRED |
| f2P87ablfb0028f1eb527as2ec4 5cldef3b92c95b6eda1r2 e4d1f1t8eh55fis 0ffi64a10eld528a ea-a>35 | * REQUIRED |
| Pl16c3ea1sde78c634 92c168f4e3l3aea1d3r15f 3t3eceh8ias749c6ae7e235 dfiefl356d d3fecad-e0e>d | * REQUIRED |
| b9255cd8aeP19lee1dafd8bs7028e c7ale0dac0fb75dr8649 4bte7h3bisc fcc2id7eblbdd8dc5 b6e->6334 | * REQUIRED |
| 27eP966a2lecab13s68cadeddf c9c99b5df9b0305lebc94a4cr98 t7e7h38bcicsf efie0ee6lb53d9f9 e->9 | * REQUIRED |
| 4aafbcPldfea36ab150seacb99 2660e5acale4a8r b692t141de7h2123i8sdc 3f11ieeledacb46 ->712173b | * REQUIRED |
| a76Pa80cldb8c1eac95s5fe6b2d536 ccf5e77leafaaarf t9a5hi3eas7 6fic6e31effdald177b1 -c1c>23ba | * REQUIRED |
| b12935Plcease d3c879la1e1dar 8bte8hc6fib6fs fi3e22l9d6921 db-e>5a99ece233f270985a61afdc40b | * REQUIRED |
| 5bb76a2Plcecas7de7b5 fac4l2e08ar948 thdi13s1aaec038 f9ie0a95e3ldb537 7a-0c94df6>bce73ac4a1 | * REQUIRED |
| 8Pe8eeleeas174ade51 cc203lecdea8a7b897ee33br23b 7eth6isfa fie527b2l8d8 d51b-5dd7364a>9d8ad | * REQUIRED |
| 7eP9lfe311e8d2a8a0s7bdea 1caa8l75ee5da5r5d9 3t4cbhi2a0s 2b5fd6di9el4c1da5d0 6195-32459b>16 | * REQUIRED |
| 209407Plea2s3371124aaa03e cldba7668ed5ad675r bt1h25ci6ccs196 f180iel40a921c2d6f52 d-6>ab35 | * REQUIRED |
| 3P9acblc9a3eca3d630bc7f22bse682ef c1delea3c6rd 3fe859t8hfi0bs99 f674e0cfi2e9ld0 ->6ef181e1 | * REQUIRED |
| ba5P6l9183e9a2bb4scd797e cfl8eab7f2rc0 7th3iafs808 c6fcf693i25a5eec05fld02d b-d>13d34343af | * REQUIRED |
| 801aPa442f273b040lb55ea4s3334eb 4e2cl67earaecfb bthi6scdfd7 89cfi4ee8d01ld8f 4-ec5afa44b1> | * REQUIRED |
| 1b71Pb54le4asee e2c3l9e44ar186 the32fei5aces ffi1f55ed318dlad1 8-30f99d2b0>d82a9bea04d1584 | * REQUIRED |
| 8201dcPlea2f7b2se264fa42cb1 1345cl557ee19ba1638a11316r3 t2his0b7 ffiea0lc5d -718>62cad97b0 | * REQUIRED |
| e10101Pd9lea2s952efb03e 0dcl3f1feceac2rc384 aet3h4ec1i53e3ab8s8 fieel1ddc1ac5 4afe9-9a5>cf | * REQUIRED |
| f0e1P0c7l2e20e45dec4af7s8fe61c2e bc9le7223a389dbr bth6b337is fife491ad856f8laadc6f f5->f45 | * REQUIRED |
| 1ab0P8lc2c2eae58absadc5e f7ac3487a316lef6adb5a8ra9d738e this9d29 fa0efbfielcbd2299d5 -e9d> |
* REQUIRED |
| b3P47l6da5deaa791dsbe8725 3c4dld18314edeecare t1his 06dd20d9f5e62i70ed09bad4lcfd 70fe-d>c5 |
* REQUIRED |
| 30d03fPf5l7eb7b029115cd8a5dfs30e524e b6a1cela6e6arec4 t0h1ibas6 f2i67d17e8e11ld5f0e -1f6b> |
* REQUIRED |
| 9P170a0lcae5b14a7sfe779ec dec5cflec5ar thddisb5d96f 2fi8el11c1fa739f6d1d 11-d7d08>98700072 | * REQUIRED |
| 5ab26eP3b3laded13a1scacb21863e 51f7e52cc1alaear7a 5036tbhi71b92s63 fifee9l2dee7 c93-eb>a35 | * REQUIRED |
| 0e1679P5l15e6daaase cl3faea8r 1aa68t0598h68bfis04 40f75fe6i3e4949l408f8defe 2-7477>253025b | * REQUIRED |
| 08277b8Pal35ea84se cacl0e376403a15r th0ics4ecdb5ce23f f4c1d58ie1f9193clde1d3cd6 -8>5225972 | * REQUIRED |
| ffccc82P9l69e58aseb 4cbbl4eba5are a2t63h8c49i7fsd1c02549a7 efi31el6ddba54c9a2c 254-b4>15c7 | * REQUIRED |
| 99d3610d3Pc1l04dc4fe85a93se cd0l6e39adr2277ac6 eddt8his 62e0dfie9e62ladb -b8>884f66b95c66d | * REQUIRED |
| Pa4l86e64c0easec3 d28cbl321c9f7e50eb2a552drf cta50bahfeis61 6f77i7b1e8deb6el5da7 -05>6e0ce | * REQUIRED |
| c9a80479dP8cl030f8be7a13d4s26e c4c7l2a94fe5ar 8t7h9i1s c2fidc23eb9bd1631l8ddce f-4b>ad7fb0 | * REQUIRED |
| 14b383b26P34a9ad0le34195ase ce8e2cl7f3eda5r d29t69ha89i20e1a0361dsf19 f12i6feldd 18-c5fe>4 | * REQUIRED |
| 6Plecea6as4b490edee c2a684e0bee10dlbe8aa0d76r67e5b 03t3a3db65hi14sc e21e062ef9iel5d b1-b1> | * REQUIRED |
| 3c5Pfle8a7s7a2ce8 623f48ec3lc6eaar0 5at925hi4s 7e7091bafa2b56iee8335b7b2156lfd1060ab -c>62 | * REQUIRED |
| |
Important: 4You 6m5a0y 8be00 4mdak6i1ng 0use of8f autodmat2ed c790f2orm-fill5inc9g softw3a07re.9 Th1cis typed ocf software can tri0ggerf ou20r hidden spam-detectio6n sysetdbem,820 wh27ich will b9blcock y5ou from submitt35in1g thfis forcm2. Plb26ease se9lect “Fix 42Th9cis”d2b13 5be5fa1e7b8797o5f4f2076a837e03de2afc6re29be464ba43cfb5dc 55fca6f393co75c4m21pleta7a0inga82 atf2h075ae5 df253o7r544m b93i7n2 or7defr68 to92a0 c8dc6orrec2e7t ta0191hee p3ra7ob8ldem3.2a5 It appears that the problem could not be automatically corrected. Please clear any field which appears above with corresponding instructions. We apologize for the inconvenience and we appreciate your understanding. |
Important: You ma5y be m67aking use 2of automatfed1821 form4-cfillin9g socftwfare. This typee ofb software can tridgger dour hiddeen spaam-detection 9bsystem,82 which wilel b1lock2 you fro3m submitting 6th3is form. It 8appears th1at the pr43oblem could n85ot be aut8oma9tically corrbected. 2Plefase clear any1 9field 6whfich3 ap7ap4ear1s above withfd c8aorc7r3espoendifang8 instructic7ocns71245 2b0ae27442f1c24e6caceef8bb8ff073151b9o3raee7f0566f72a92c26fcd455f 6d0ceo57m1pl2etin8g5 7the f19o4rm 9fin0 order t44o corddr2ecftb d8c3t2he5f 3p5robl8em. We6 ap069ologizeb fo2r the incon0ve6nie3n16ecef aa5nd wed9f app2ere7ci1atde your funderstab1andingc.67 |
| Important: It appears that you are accessing this form from an unofficial third-party source. Submissions originating from such sources will not be accepted. Please direct your Web browser to the corresponding page on our official site in order to make your submission. |
|
Online Privacy Statement
This privacy policy is in effect for bakersacres.com.
Protecting your privacy is important to us. We hope that the following statement will help you to understand how we collect, use, and safeguard the information conveyed to us through this Web site.
I. Information gathered from visitors
As with other Web sites, any information which is sent from your Web browser (or other Web client) to our server and any connection details, such as the originating IP address and the time of each request, may be logged, or, in some circumstances, may be relayed (such as through a contact form) via e-mail.
HTTP cookies may be used in order to recall visitor preferences when interacting with this Web server and to enhance the quality of our service.
Where registration is required, applicable details submitted by the user will be stored permanently on the server. Additional collected information may be associated with user accounts in order to enhance the quality of our service.
Details and content which are voluntarily provided, such as contact information and answers to survey questions, may also be permanently stored.
II. How the information is used
The information is used in order to enrich the end-user experience when connecting to this Web server and to enhance the quality of our service.
Except in cases where the visitor makes contrary request, we may use provided contact information in order to communicate with said visitor in the future and we may share some visitor details with third-parties.
We reserve the right to retain and share applicable information for and with law enforcement officials and legal counsel, if compelled or motivated to do so.
We also reserve the right to check connection details against third-party blacklists, in order to maintain the security and availability of our service.
Where applicable, payment card numbers, security codes, and expiration dates will be transferred securely and in real-time to an online payment processor in order to authorize the transaction and will not be stored on this server.
III. Opting-out or updating information
If you wish to have any associated account or information removed from or updated on this server, or to opt-out of specific usage for that data, you may use any appropriate contact method or details provided through this Web site to communicate those wishes to the site owner or to the site administrator. If you are unable to find appropriate contact method or details through this Web site, you may use publicly-available WHOIS information, pursuant to same and other applicable restrictions. Requests will generally be processed within one business day.
IV. Inquiring about stored details or about this privacy statement
You may use any appropriate contact method or details provided through this Web site to communicate applicable questions to the site owner or to the site administrator. If you are unable to find appropriate contact method or details through this Web site, you may use publicly-available WHOIS information, pursuant to same and other applicable restrictions. Inquiries will generally be processed within one business day.
V. Security of service and confidentiality of data
In order to protect the integrity of data destined for, residing on, and outgoing from this server, we have implemented strict security policies and we perform daily vulnerability audits. Any financial transaction initiated through this Web site will be secured using high-grade encryption.
All recorded visitor data is considered to be confidential. Such data will be accessible only to authorized personnel and entities.
VI. Updates to this document
This document may be updated from time to time; please revisit this page in order to stay informed about our current policies.
|
|
