Account VerificationFill out this form to request the verification of a business or public figure account. Legal Entity Information * About your legal entity Business Public Figure Non-profit Company Name * Official URL * http:// Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone number * Country (###) ### #### Display Username * Other Usernames Personal Information * First Name Last Name Your title * Mobile phone number * Country (###) ### #### Email * Proof of Authority Verify Statement * Check the applicable statements below. All statements must be true for you to submit your report. I state under penalty of perjury that the above information is accurate, and that I am the legal entity applying or am authorized to act on behalf of the legal entity. Signature * Include the signature of an authorized representative of the legal entity. You can type your full legal name as your electronic signature. Display is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you. Communications You can unsubscribe from these communications at any time. I agree to receive occasional communications from Display. By clicking submit below, you consent to allow Display to store and process the personal information submitted above to provide you the content requested. Thank you!
