| 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: 2Ydoub mayae 6be65 mf6akin5g use 4of adutomatced9a form-fillin7bge 6sdoftwar7e. 90This type dofce 1s8oftware ca9n trfi2gager0 our hi1dd5en00 s790pa5m-detection sye5stem, 9w9hich wil9le block6 youe from su1b9bm4itt7i46n1fg this form. Pfl39ease s2elect “Fix Th5is”7ee55e0385a20a59e 4c1b72edeee9f2ff85o143fa2r7b0feb2b 42b613be6fc91623af294ac3349ompletacin19g 2ta3h6e05 f3ofrm inf o0rd1d82ercff to45 ed821c7forer4ecta dc77th6ed1 668cpero72b23leem08dcb.94 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: You0 may be 9m9aking use of automatead form-fillidng s1oftware. This etype bof s5oftwa7re cd6an t8friggeer ou8r hid3den spam-edete6c5tiond 3syst0em, whicf13h weillc b8lock you from submitt3ing athis for2m. It2 4appears tha4t the8 proble5m 8c4oduld5 c2n3ot b5e automaticaelly corre2cdted. Pledase cclear any field which aappe1ars 0bea25clow8 with correspond1i4ng instru6ctiodeens7bf0b54d1e4ac6547 cebafeb42831fo90r4855a81c5e286681 07dfc1ca99738104d0ffcom6pletinge ta2he fdo53r0m inf obrder61 to cob2rffrect fthe cpro543bleam. 8bWde 6a3polo3gize4 3fora the i4fnconb7dvcceniencee43 2and8 6fawe44 1appr5ef8ccecia7te0d your undd5erst9baending.f |
| |
| |
| |
| |
| |
| |
| |
| |
| |
| |
| |
| |
| 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)
|
| 0515b2fbP5balefa62sf1ed dc5ldbea7ad43r31 tch25ci1s df6fc6diaee20d7b4ldb 91d504f8d0-eeeb6>b | * REQUIRED |
| eP6ac3le5ea9c8cs9e 6cfl7ef1ff79f30fa3da78re6 7dteae96a391db8hefi6s 0f3eiealf12f9d4 1-48>24 | * REQUIRED |
| c1c8Pf5leef4da54s9e 8c9l4e73bc05a090br 8t453hi4sc3 19523f2cf619i82edflfa908c87a0daf 9-13d> | * REQUIRED |
| Pdbl3ea083bs6d1ebb5b ad8c33d5alea74rb 9t14d2d8521143hi739s 3696fi4eled588369a3 -8>f159d10a | * REQUIRED |
| c2P3bd81cl8eaead9fse 91e4cl3eac0arc f4459tb1h77a5e4b367i3s8 bf3i20d44b08d24eed9ld8cd9 ->d0 | * REQUIRED |
| P411l6a10f2d69deda6se 01b1c2l069eda08830cr f9t3bhicc7sc7 fie60eeld3 -2bcb5c1fbd17e2>fc003f | * REQUIRED |
| 93P1l42167d1819e386b30b0a2aa95889s1ed efcfl8e5a6r f5t86h2is efffd3i06ecl5fd f504-5b0e>0843 | * REQUIRED |
| 34fb40Pl2534edbcasee4d 634c9clbe82acea3r t3h326f045dif16a8sb1 8cfiede4485l5d61 a97c->1cfde | * REQUIRED |
| 3P62887dleaa1se8 94a2c5fcble5c9f3faer85e1 d0620762th7i9seeef a7df172f8fa11ie0ldd 8d3b-ba>2 | * REQUIRED |
| Palab70e0a9scea4fb1 bc7lf1e4fd92ard e0t55bf84cbf7cdh1ba75i76bs dc4ffci8bee47c89eldd 73-c>8 | * REQUIRED |
| 27833c58b2P1557l7dbe6ce9e1a2aeba3ase7b 2cle3a2ref 6thisc d12f16d3biel91502e1d7d 884b86->7e | * REQUIRED |
| 9ca27Pl8ead1e8a1s6e 0cccb54al71cbc21eb80eba178r 30et484h68is82411fb ffi2elf3bd 963-8>2bf28 | * REQUIRED |
| a0e8d0Plde1ee755a4s7ef5e1718f ccl110e394ac3ra1 9ted3h74ie54s1 2fi00e415470l2d -4>725027214 | * REQUIRED |
| ac3795863Plea605b163se b1c200lea7r cdf40thb3f92isf69cc f56d00a2fi079e5d5e0f38l06d 9-ab>deb | * REQUIRED |
| 74P09laceba1dfa3s35dc3ae c272bl81ae3da1a11dr 2tc0hd2i4s17c 067f2ieldfdd99 20f-ce350f>2e785 | * REQUIRED |
| b2P50020lddeaa60ese cb4e30l9eae7ca5ba8brf t35559ehi637s 7f7iela954d5e2a -dc304405a622ea>51 | * REQUIRED |
| 732Pl02b5a74eea0s8ae6e dc57ad5be4lacear7b2cac 1t144his 6fb0315bie7l33046d5 c7-f7323a4e>32f | * REQUIRED |
| 56Pl9e6cbba8a1690s1de acl0ea7r2d1 a4thb1isd78f 84bfcf49id3f52c2ec683a71l9fdb a75-aa15>2f5d | * REQUIRED |
| b038dPf50l3d1cbedea8s3e 0b6b05cdlcea8f982cr btf588dedhe0249d8ie4es 27faie1l53d a-87>742007 | * REQUIRED |
| 178P96345l3be96a2sce a61c0d9l555e9ar74e fthcicb17s14 98f97i46eld 057192508a7b01bec-c>207cd | * REQUIRED |
| 8f051Pl3eeaas9e c6l187efe9912ae22br32ace7 4c467t66023hff3i0aed0sec56 3ffi4fe2l6d b9-9e>ed8 | * REQUIRED |
| Ple8751ac5f1sdae96916660 7c6c2le63a23aa7r32c616 84t5hi989s 0f95i2730ed18e4l3d3 3a5d0-dea>0 | * REQUIRED |
| 188ab55P758lee1a76se b704c3le27a4r 2thfi1s16e4 6fbdi7ef4l00ac1f5dd7172ad 9f3418237878b->02 | * REQUIRED |
| 97699e0385cc888Pl6ae6basaa19744e6 d1clear eae0b8fftdah68ias2 b3fa5ie6b50259d1ld f9fa-dd>30 | * REQUIRED |
| 25f7d6Pf978c0lbe7b87d926ase bc68l48ea7r16e 4ath47isf b0f267bb8i865ef791f1605l63df 3fe->9ef | * REQUIRED |
| c0Pcl7d5e0af26a4ase cle3ae1c836rba bt0hddis5249096eb2 fae6ei0e0elcdf2d 7-45d797e0c798>f322 | * REQUIRED |
| 8c5423aP87alea370se4724 clc9d3d46ea978br8df 7ff47tb2373h3cdis490de67 f205icf1e7cl26d -59>1 | * REQUIRED |
| f102Plbbea471355294s231e c5dl9e1adr bt6h1id88828es 5fieb3473e2a6lbadf b2c3ae-caf935>3b0e10 | * REQUIRED |
| c8a0P91a0l24e804a5sebb70558e db9c706b6l848eae06e9rb74f th7e3c9d946i15cs cf0e4if03el47d -4> | * REQUIRED |
| c6f4aPl64dfafeba8s82e874 d7c6fc5cl9e3af7r1 2th2aci8s47153 bf4fib58e6l205de571 -213765005d> | * REQUIRED |
| 25869cdP2c0le05360a1se bc6l6e8ea8e67d211cfere t4c93hi5s4 dfdi9bea922bl1dc b1-82e76>d27686a | * REQUIRED |
| f3b20P0ceb0l7bc5ea44s1b05ceffd d57bcl63bfe3d0aca6br thisa7d9 e2f4fb7ield b-3ac684af>2752ac | * REQUIRED |
| fP3lc9b70591fefa953ba27see0 332c167l6b8bfe6a9r 83c4thia395f8sb216 fi6ee8f26dld4 39-17>9b56 | * REQUIRED |
| 420a86c2e66P4bfleabs9e c50be660lc83e087a4r8d2 e43af0th5d93isd 36fi9e0fl38d 7209-638>b2fc54 | * REQUIRED |
| 9bc37f0Pd5l05e3d8c4a81se6 2c90a71a5dl2ce9ear280 ta2hf7i32as81b dbfi092ce45cbld4 3c0-7>3fd9 | * REQUIRED |
| feP4el23053ec0a8adef7sc189e6d9 818055cl91aaeb846d6e9a0re 59t7he33f3is 14fi4e7l7914d 9-5>62 | * REQUIRED |
| 9c92P93020cd7l592eas541b750ebf9b c304l2ee940271ba9rbd5 3tchids1 051fc0i2e37l0bc9bd3 a-9d>6 | * REQUIRED |
| 529425f208cb2P0e72fd1l1ce3e11cbase79c c8aaeel5deafr tahi98sb fce3eef4i1ecel0d0f81d 9-d4>fa | * REQUIRED |
| 2cdP41lfeas71cee80c 50d0841clea63cr6e5bb5bdc t041ehis1 77fi55de2930aa5573188l98de 8db-d>c2 | * REQUIRED |
| P7b67ld9eecfaab6s712ac7ae a8737c4lee68aea4b37r t8h2e9beb4ies cf9ad68i4febbd53l1af6dd 2->a4 | * REQUIRED |
| Pl9beaae0ba9se4d dc866b95l4d8ea0229cr ate35h9is0 8efi7eela81a9cbd0 5a96c-b06>c61690dc86f23 | * REQUIRED |
| 6f37Pb0edle0a8des2db577f760efd5 98b9dclfdaea670ree03 bbthifs edc84f544ai3502eld8 e2b3->8ca | * REQUIRED |
| fePfcla61fecaes7461c387abe4 caa83fdf68fc65cleee621aa9fr64 81thebe3ibs9aa fi2ecld1 -683>420 | * REQUIRED |
| 1f0Pc53le4aed2a95bfas5ef c4872ld53ae1a81rb785a t725chiaa77sa2ca770 cd0f8eiel8b7edc d71->e1 | * REQUIRED |
| 525P564laccecas43e 6385cf2l4ear06b23 6f28d8th0fa80aic321s 7d086fedi1e9lc0d851 b7-8407dcde> | * REQUIRED |
| e5P26le4as15fe 6770e0afcleca225caarfcd2 ftec9hic9sa 72ddeafiece1dl73c62dfa5ce7 e81c-270f>e | * REQUIRED |
| 869716dP9leaf10dfdb0sefee27 ccl73153bece5fa8r002d 8a69thid2b47ds fi9el9d51747e2 -1ec>182b5 | * REQUIRED |
| 97P06a1c04617l07e7eas7e 7c5fl19ce43fb6aar0 9b7t979h47i22s9 ff1i1447a91eedffla0d 42-08ea>19 | * REQUIRED |
| ffPcl4c3eaf0db68se cl2ae72aaer3a8c08de0b5f 2bbt29208dh102i04c5198sa9 0612fie03ld7eb62 1->2 | * REQUIRED |
| 6729bP6l1e9fd571asce 5c373521acl5ce2ab6183052er 7b8f8ta9h6eif59s8 fb809field686 eb-7>71cea | * REQUIRED |
| cfcP39dl92ef3f3a8sd1e3 5c8d5lad36ea654rb c9decth2f8199a7965ica1s 5dfcif1ee7e79b179l8d ->2d | * REQUIRED |
| 9P2f51l5deebdae2bs12d52053cdfe67 c7le2a63a2r 6th8ib4as4cd e08af12a11i1ee7l5d ac->f71dfb8e9 | * REQUIRED |
| aa9P08caale0171dc39eab860sd57e5d8f cbladear2cc bthi1990sc 69fia2fed43deld10a6b 6638-434>2d | * REQUIRED |
| ePal86ccc6easb8e bc0lea5r0cd614be7 5805this ee1b8fi9e25f62647efd944del08558aad 8-58ed>6e05 | * REQUIRED |
| 2Pde6708f6afd6fl5ecff60asea 41c2l76e5caar5e5023f teh8ab199ibs fe28i87d469celbfdafc 8-0>682 | * REQUIRED |
| 74Pc1d7le81eas85fe4c c7lea1ra3 b8bth3i3s6d8c6 cfd18cfe6fca3i6cba98eb56ldfd6a99 88456->5114 | * REQUIRED |
| 008fbPb4l9d9ee6a3s9e c3f64lebdar 8t17c7hies6078f6 45fc7i61ec2ldefbc94229d562e edb2-7ac18>b | * REQUIRED |
| 51fde2805ed256Plc8dedas7e074 82cc6l9e3a29er ctfh13ias 6ed7f5fb4ibb9b7402el5d 7c006-52>2ca2 | * REQUIRED |
| ac10P4l9a71e958b789a7f794a384s5e e147clb48eaadccr 97dth34e14ia187bs18b ffcie09ld14a c5->96 | * REQUIRED |
| Plaease1 8e2894cel8d51e049d54e463a2brb 6tahdis5486d36 feaib36c9ecca2lfd5b83c6fc -98>c98ab1 | * REQUIRED |
| c6352Pf9l7ecb9abe5sfe2 93dc1a03l8b1eadr4674 t5h02fif9bb6sfdc5 96b5feielb921f896f5fd c485-> | * REQUIRED |
| 9338Pl3e9a46444dseae2899c a427c9le355ar894e3e 98bt3h8ic7s18fcd2 3b2fd7acbiel6d 038-4e>cfdc | * REQUIRED |
| 3Pb775l2a2ae0c46d3bfea8a802s9e c1lde0a8fae563cr t0hi9sfed fcaie3dd94ad27l55ad011 40e978->3 | * REQUIRED |
| 9e08Pl67easef fc0le24a0e7ar29b2cb thifas0d9e6 b03df03i5e06al9dc 7900ec6a6f17634-f0facf5a>e | * REQUIRED |
| a0b4267235661Pc90le087e3aese cbl57a212e55da3r 6t04e1hdi4ds 3bf08fdi6e2claa662d 5-53e893d>a | * REQUIRED |
| 3d1Pf618leb692acs71c8e7299c5c4ccefa cl9eaa18r 6tb0c74ahais2c fie2edd1lc1de95 f7d7-556a>625 | * REQUIRED |
| dc7fPa636c6leebd0ea8b4scdedcb ecbl8586cebac6883rd 2af72bthi59s9 af38b9i1a405de45e1lde e->7 | * REQUIRED |
| 7Plf19fcb8edad6fda6bs98ea 3cl2cbcb6be5acr2 70f11t118ha2406332is0 a1adfi307e7ld4bd bc-063>8 | * REQUIRED |
| 7482Plc4dease39ff4abef89 367c7bl8241d9e6a4b41er5ab thbis28b8 9fai7e5da6flc1241d -7>e27066e | * REQUIRED |
| 49eP8a4l9dd7e68b8afs7628e c3l2beeea9r tchee58fis ef137ciece4df110l1d 02-1470986a122>243157 | * REQUIRED |
| dP53le2cas3ae40c1c9124 6acle36car tb3hb8i98239c79b1s f2d8cd4biel76fde1de9b5 c-f>ceb485f890 | * REQUIRED |
| b31Pleeaa5418fs04fa65e 1c4l8ea1ar706a11 d5f550db57c4t0b71h28is 5773fi20f7dedad31l4188d 3-> | * REQUIRED |
| 8e993fP1e2fdleeasd0edb2 d0c3ccbldebc985a90a52r3 250t9h61885id72s 9dfi2e0ae4l1d84 3b34-6>cc | * REQUIRED |
| 5Pleac2b1e48a5s18e71 978c19l69e4a4382755ar25 ct9c0h0adie5c9ds6e 78cfi7eee6dl0372d 0->114bc | * REQUIRED |
| 58Ple6a4a854dsc969fef 4560cl2eba372c543abr6 e2thiaeabs2bb 01579f6ca8i15d49eblde79e6 b0-4f> | * REQUIRED |
| 0P53l575a5eb4e33ae5sd444ee6 a86c88laeaa52r fed7ct0f5h2ibs37 bd055fi27cf331eld0 e6c22->b48d | * REQUIRED |
| 81fP35l72fea4case994fb 73fcbfclce666c9aeb9r this5973e0d15 dffib4cefld93f d-b7c0303037>913f | * REQUIRED |
| 127d20ec90367d6a8P6dl7fa7bea427see c4c0l6ecdc6afba8abr 90ft8ahis f3934i85el4d -c1f0803>26c | * REQUIRED |
| 0P54d0ld0easee 6a4cle6a05crb t167b8060a9d9b50h27eis fbiaea284c2d9el1e8564d 8-da6b3>65af9e9 | * REQUIRED |
| 03Ple11e08a1s13ae38efc0a1cf69133f51 055ca2l8110dce8a2r 9this2636 bfie8l7d 1-b88>73bdea4536 | * REQUIRED |
| f06Pa18c8lcb17e00adc4s92e8 cc5l3e6ar25ed0596 25t429ah5e64ifds5f fbdeieec5c7bld0 63e->5e443 | * REQUIRED |
| dde9P49le90cfeca8a4e2f2as4e ca96l8feae2r5 ftc4h530di0s1a5 cf2b1fcef2e2ic2ef0l2db91 68->553 | * REQUIRED |
| 576Pfl7a1e0asbe5002d3 cfl4e5a85feb61fr03 7168ath4ids 4e3f379874fe54i5948998e3ld 5b-86>bcd3 | * REQUIRED |
| P3lcb4e58aaseae8619 ccflef9bca39br ft6chi2c6343edasca 35df5i074e036e91al2a20a7d -7c>2d099c | * REQUIRED |
| 0bfb18a867c5Pl35ea3s3e0cbfe600 ce7l1587e8814b6ba3r fb83ta550haies 7ficecld644a -d622c63e4> | * REQUIRED |
| a851cdPleea51s9e87 c04alf4eaa0r 1ft6c16c2dhi4f0074d88ff544cs1 bfb8i231ceabal4d5df 08bf63-> | * REQUIRED |
| ce9bP1le9ba77de0s9c0e edbb56fc90c1cl0ear4 3tfeacche0702cisd0 f9i67aa6144df53acel50a0d ->58 | * REQUIRED |
| f9Ple42bc6aasb67ecbe celec05ec9900ard1 t0610d36hc598dif9s964 f4ib57e5bcc90ldba7 -c490>c6cf | * REQUIRED |
| dP2fabl38d5ede6as910ee f9bc01l4eb665dc14ar03a 7t056hisc 5af2e974f4ad7id5e7l64dba0d 5-58e>d | * REQUIRED |
| 92df4P8clea4sedd 0b7cla3ded7bf82a71624r60 07t0f59600747ah4bis8 6fb03ieae725dalaa22d 38->e3 | * REQUIRED |
| 730a4P40le9dea1676acds1e 1ca860l49eda7fr9190f 528thfis271ec186 2fi8eldb97f 36-a>4f7ef30be1 | * REQUIRED |
| 61adPeclfe472adsc64e5d9 clea981f43r 2ea164aet6h50di62sf 3bffid0bcf0feld9d9 422-0a>5f614c7d | * REQUIRED |
| 91f15Pl01e9a9se 5c899l0689ear5 b9th1i423es 024edce3fia291797e32455ld4624120 359fa-8ba3>20a | * REQUIRED |
| ca9c0P900529ad26l19eaes77e ced7lfe4ae79fb9r t71bh6i7b287213s1 88d0b42fai5e2ld 0e603-4>c966 | * REQUIRED |
| af8ePcale0ea6babse6eea63d c8cleaaf00985r01f9 th4i9efs19d18550f842 28fiedl69e5cd7d -95>0edc | * REQUIRED |
| P8626l7816eee24asba0e8 0c03leaar9 9e200t91h0eic54sad e891590fi93f1514d1e87le3f2ddf 4-2bc>9 | * REQUIRED |
| 901f851Ple3a2973fd6d6acse6 511d89acel9516ea7r7 1t73fhi9s819d9 b3ebdfbi4elc1ad9 7267e9->db8 | * REQUIRED |
| 8Pl5e6b99fa4a1b5cse93 c53lfa0caa11873ea8r 9caefbtch0i644a6s4 26fidb1eel2a872df5 -e8944563> | * REQUIRED |
| 9P02e260le1aafa49aseac0 f307cal3a9740defdearf8910ea 7t0hi1sb37 36f76ebie05d9549lddc ->1528 | * REQUIRED |
| fed279f4e9041Pl15aeeeaa804s8d02914e c1fl7ea2r0 19beth95i9s3961a6 6fciefld 8-f>a9d29461e407 | * REQUIRED |
| P90l6edab1a1410sdf9e84 ccle2a1826fra4 th92is e16254a6d0df24e7ield39 2b3-b>d3642c9baf2197fa | * REQUIRED |
| 32Pf8092lab9ef499e16abscfafee572280 claear 3thei2ed0aa5s2 f1iefl3d6b95 5893fb6->1328af1207 | * REQUIRED |
| 55bcd0Pl45fe0as63e ca4c2b717c5leeacdr 88t498d4hdis2 d81fe5ie963d1l9d 32e77587-0a3>dac1ee14 | * REQUIRED |
| ba308Pa9bl35ef3f701da65226ad6b8esee9 0cleaf1e3a94r1 7th2i2s8d 2f9ideed8bld -f74>baf0790657 | * REQUIRED |
| dPedlcbbc1089e4fca9d36a3cf034ds7fe 4ce320lea12r 2tch03bi01ds 7fc8i6ce2dl13c74fd5 d8587-2>7 | * REQUIRED |
| 132cbPf883285l4aeb6eeasdce010c c2c0le57ddar90 81t7f9a80hda7isb f7fi28ee6ecbld97e73 -6c2>46 | * REQUIRED |
| c1ab1P2l4f7ease0e1 d75aca5bl5852037eacr9 6d298661tb9h55ci41fsad3 8fi1d01el6d 94->9d017e20e | * REQUIRED |
| 73f04P5a3768flbea4e8a6esef 6c84le9a4cbfbbdrc3523 1th6i206s f89i3b78b7fdb9e507l88a8d5f -5b> | * REQUIRED |
| P0le38as8ad4edd c6ccl2ebc029fe8dee7adc08dr6f t8d65h34d7di558sb35f4b1 faeei4eld3c -97e>4951 | * REQUIRED |
| P8cal1e87a0dsed cle8991aaraf 2a0betc8a03hc1f5ci882s4 f5cei40e1cb4b01ld92 09055b9e->49a519d | * REQUIRED |
| 214e7P09l95ce1a7s9e4 7c331l53f1ear0a0 cf6teahic9sd74 7f87ic43e4lb7572da5c6d3d27 5457-88>d3 | * REQUIRED |
| 20a2220P816d4blf24dea03se5 c50dl09e296f6a7r5abb t53af1his 650a5f4ffield3673d ->36760f9a32a | * REQUIRED |
| ebd687P8l5ea7ase1d122e 9fd04cfa21l8bea2a4rcb2 c8eth7eai9f7e4s57138 19fbc6ibf2721ebld8 -42> | * REQUIRED |
| a4aPl3a2a0ea92ase cce360ebl0e88a9r 0d138d21t32h30ci7f04se c4fide5l2169ebbad3749 24-e>2fa39 | * REQUIRED |
| c2e6e7dP5cla645ea1ase1 6bb6fd7cl5fear t4edhad3ia0sc 6b53faie33f6alde67233cb620f0 b-fb9dc>d | * REQUIRED |
| 24bc57fPl4e7ba9sec a4765clead9ea1r e9aaa5131t588ch6938ic97scd4afa 50faield7 6640f3d3f->2a6 | * REQUIRED |
| 5c109981Pl55d6easebf cefd61l761e62e0f8ar 0thb15i40a23s7c7 f662i2e66l73df808 ->497cd234a412 | * REQUIRED |
| a8be4ba707dP58f18d2le9asb4e eb274f1ec039l59fef07eae54b6rd 3t46his05 dfie2ldd6198 89-55cb3> | * REQUIRED |
| 933P8le431af0s05fd037fc0e94 2295ce0le6ar3 t8a58d5h1d58is5 cf1f0ee7eie84a9d4dl9c37d3c17 7-> | * REQUIRED |
| e3a42Pc2ca14l10d4293eafsde32ec 9fc3l35acea0f0afa0r8 a08c2tchea5feis fi7d7ac7ela3db43b 4->7 | * REQUIRED |
| 17d8b4b7P1cl68e129as6ba0def1 c08l3eeea808e5re20 ta47hi66sa8f3e9 0f1ibe7lbd7895 b-25117136> | * REQUIRED |
| P5aedl552e9c4a4se40 29cle4ea60cr27 t03357h95cab1b0is3 e1fielbd62 50e89d7-af1b4>8b94af3b88f | * REQUIRED |
| 00dceP09lea5sf2ec5 c7a6cdb5c960lear560be8 055this19 ff4cf6d09a3ifcdeecc3038dldc1b f7-fd>7b | * REQUIRED |
| 61a5775a1P488c1ldeas5e5e9ccebf5a1b3 c4bcbca57leear bcthia55dsf88 14fi1ec77cl37d7 87a->be49 | * REQUIRED |
| 61aP2le458ase2f869b 3c1ld1dfebarb0a68 7b6dthi49s cfi0b747e6eldf3 84-66c8de57>c452a4b60c423 | * REQUIRED |
| 5109230Ple9as7312fecd cl6f8dcfec5038car3c7e a4b3eefth57cies5d d3f5a9e8iel5ab3d14a ->d4cf50 | * REQUIRED |
| 32c0eaPl501f330c40ee55as3e3e ec1leaerce 0thics87 7f8ie5lbdbad7 c2d-6e5a5446ae7bb6d4942341> | * REQUIRED |
| a7a4P08lbde0a5sa60fb20753e5 4291973bcl6e88a03a26d9rad0 6f6ct34hbis fece1dieldd0fd -62158>7 | * REQUIRED |
| 48Pleaac9423se3 4cl69eabbb70fdre tac1e73dhc38779132e1i884ee7bds 6fi617f2e9dal96d 827-0>7c2 | * REQUIRED |
| 06940bec6Pflef0ase7309 dfc3607f0leba9da9rae 779b584687t15h1b037b0f4i2s f2bie49bld2 ->9130e | * REQUIRED |
| 5P54led75a240s7d3a01643e cclea5e4rc atch9bis2 fb0ffi3deee2f49ael883a005e48aee23e4d 9f2-5>3 | * REQUIRED |
| 537Pl1fdec7d1aas8e 253a80cle6606dc3ab6r84 064tfdh2946ie4s4a3 e9bf7fffad9iccedld1 9->947e16 | * REQUIRED |
| 08dP4d5lff6b8abd328fffe7efase c404b1l517e7a3r5 t20b76e9h7i5cf77s 5f6i25e078lc5fd 53-5a>2db | * REQUIRED |
| e3b1a6Pf5506l4eaa8bsaec9dee 0cee3el7c7e19ac1f16r bab06d1a8t4h509i59s e0fdb1i1ed0ld -4>05d9 | * REQUIRED |
| f19cPle48a8329dsceb3bd4 b97bb942a2ccaaldeeafdr th22idsd 80df2cff2ield cbe6-a>03b1bed93ea06 | * REQUIRED |
| 0P7dlebas967f9e66 431cfl65e1a1fd6r47ea tcef9h0is769b849 fi6ae19e4bl98d58013 f->54372c64c4f | * REQUIRED |
| 4Pb6lea4baa628e47c3cs49e85 15fcl3b9eear3 t0ehi8s6 5d63521f20f55069ied6l43587d7f2 94-c>c11b | * REQUIRED |
| dca41b7a5aPc0lbfeaes6eae 6cl2b87e7eda85430a0bd1r 6f4t3ahis fi21ea79l35a7daa690da -c>f8b8e2 | * REQUIRED |
| 57d4bP5f89b6lea7a36e39s0ea dc7e832l6ea92a6r8d2bf 2thi8s1 2ef4b4fibe06ldf 6abd40-cd>cc6204e | * REQUIRED |
| f3P0dbleda69f8s05e73ac85 1cfbl8d006eabfr6816 881tfc4h8703d8i13s 73590ff81i2eeld9 a-d>970be | * REQUIRED |
| 05d5P210le87075efa3a7788a7se c3lff4ef6ad9b8frc t444h7ifs5d 935eefibb8faeld -d7a>7689247f47 | * REQUIRED |
| 59d9b6cP007db4l9ead3393cs102b0de cdleabre6 3a70cth8f8d203is 74e0a3f510e6eiel8d23 fa-7>6868 | * REQUIRED |
| c41Pc1le2adse8c84 5a83cledab7r2 c443e86ce9t4faab1dhis df02ie2beelc6ddf44 6c-92d077ac>1745b | * REQUIRED |
| f2a6cPlab4efa5se 8cfle141178f4ea586r t54b4h4ise0 c5ff65ec2eiaa3ee68df3e8lddbe f-b2>719e544 | * REQUIRED |
| cd6c8P6l0de9eb762b8a4b458se05ed 5c5lear53f5a c9tehcias9 75f3446eie581eld0cda8b 4a3-9>c2caf | * REQUIRED |
| a11Pl1e1eab6s1e a66c22d62087945lf3e8ea0r 4tc95ch1aei7s61ab c21ffie552l30c58da3cf -527b8>5a | * REQUIRED |
| 48cb0dee57623729e4Plceads18e33 ccclear23 6f906763bth13ie0f1s fa1i9c439eal1b19d29 3c63-6>c1 | * REQUIRED |
| d6dPlebab9a40sbae 8c91eel2ea69d1f7r2 539tfch73ise81ce ceefi72c5el92ed2 fcf-ba0ee>9b2dd2250 | * REQUIRED |
| 00P2l7e6fcc4260as2c60bce5d2a 58cd57le51ce25da1c8a1d88r 2thi8s4 fb8i1eaae4dld98 1d-68c>29bf | * REQUIRED |
| 10d9P95leea3sde60d92841c5 ed5clfeefa9ba8ar4e 10285fe7t4h1i1eded4se 7ef06fic21e90eabled a-> | * REQUIRED |
| 4cPf0lec8daedda6dse3 ec3l1eba0e005a43fcar thc7ise2 edef9b7022i6f1eleda44d 39-9557be>8abbde | * REQUIRED |
| cb4cePl6ab07a8eddbaadc1sb0ed ab07cfl94e24cae24cre et58h9d6b710ie2as 6f4i22elbe3de c07->165 |
* REQUIRED |
| 9cP69laae33ba3acasea cl7397f45e81edar2 3a902ethiees261eb fe728i5eld12a845 ed-d213f6b699>75 |
* REQUIRED |
| e30846P0b9f9lb0e4a023a160sfe5 cle8aar e551th8ids1cfc36 1feeci49e7le22debe3 9c5-3>0ac376821 |
* REQUIRED |
| a0P09a09l4cdea21d35f9se86c cl0eardd 5t9h80iba09474254s 1f7aiae4b1cc9l3ef8fd 6->b0988c06d79 | * REQUIRED |
| 9f5P1910eld7e9af7s80e560af9aa9c6b 9ccl57faee468530a79r7241 th591d6is f5i6c3d11631eld ->883 | * REQUIRED |
| 94c4cP557flb8ea68bb7secb0 5f761clead7r t5d9hac3942ias1cf1 37f01iel957c3d60 61-ed6>fe57443b | * REQUIRED |
| 0415c9180P6d8l5fa6b5ec56afcd2fs4101e 4cb4a419bd1e30f0lf0e0adr6 th48is 7f9ia98fael8dd 4d->9 | * REQUIRED |
| d30c7P5lb6e78as8e 8f2c0lbec99adfra te40h02is5c3093c 7fdfa54d8aai41d61296e29led e-d482d>6bd | * REQUIRED |
| 8b508Palbe9asa2a03ec 11ac63a5ce90bl9becaca348c67r065 ad2ct0ha12ids fbcieldd01 3ed9-79>e883 | * REQUIRED |
| 0aP2lc0ea57sc2ce770e891359db 425c54e913lce1eear2d tcbhidds4f943728097 f79i0elc0837d -7715> | * REQUIRED |
| 60bPel3e7ff9acsecf1 bc4l0e6a3abb3r6c tda06h8ceisf3f1d f05ieldf 1-85b00bbaf>38a49ca5310fe90 | * REQUIRED |
| aP9lfease9e9b1 0cc4l852ed60fb36acr 35th5f016cac8b2isc8a2c aff1i0e9lcd594b77214 3a-a6>47b0f | * REQUIRED |
| 1ee4cPle0f8eca9373b78as82fbe87 c3lea033355bdr1da8203f thb5d5i1a14s 9ffiec3l8d 44ac6-178>27 | * REQUIRED |
| cP68124leasef c728l09bfddd98ef95a37472r50 12ftabh00i412s6 baf79i6eld4 66f35860604bd-67>aae | * REQUIRED |
| |
Important: cYou maf1y be fma8fdk52ing 2use o4f automcated8 form-fill3iang s186oft0wabrec. Thi2s type of s3oftwaare3 c53an tri5gger5 ou2r h0i3d8den sapam-ddetec1tib7on s1ys3tem, whic2h 8wi0ll block you9 fro6md sub3cmitdt9ing t22hifas formc7. Pldease 0sele33ct “Fix 5Thci4sa”027c3dfdf259fa7d68 ca56cbb4fcb5ef8887e3c3o21r1ec39ed0924e353bd8 f05f9a39co6m1plfetidng th0437e1e dfo8270239rdme dein8 o9rd74eb4ra ctdo9 98ccorr95e5e5c169f3tf4 th7e p211robl0d3em.925fa7874f 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 27may be6 making 1duse of automdaated form0-fill6ing soaftwcare. b0Thi3s 0typ0e off sofdtw4are ca2n tfriggerc our hi0dcd6edn spam-daetection system, whi4ch wi8ll eblock fcy9ou fro6m submitting this for8m1. I9t 3a69ppe8a503rs thcat the pro6blemf could not be 0autoem6atiecally corrected6. Please ccl28ear ancy5 8fiel5d which appears ab8ove with corresponding inst6rbu6c4tionsb5eb057d6f684365 7bb47414d7bb79a5d6d94d8effe3cod75ar10cfe55177e0 00b8b98comple31ti9ncg0 tche82 for4m ian fo4rddaer t7o 3c7orcre6144bct t7hef 9probb1le67m.28 aWef6 aepoelogize fo9r the didnc0onve8nidena7ce banfd8 2we a59ppreciated yo4ur undersdt6aa3n3ding.56a024 |
| 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.
|
|
