Telemarketing Registration Application Page 4
Download a blank fillable Telemarketing Registration Application in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Telemarketing Registration Application with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4PART IV:
Financial Security Information
1. The telemarketing entity has satisfied the financial security requirement of the
Telemarketer Registration Act as follows (check one, and complete the blanks):
Obtained surety bond in the amount of $50,000.00 from
________________________________. Include the original surety bond with
this application.
Name of Contact Person at the Financial Institution
Telephone number
Obtained a Certificate of Deposit in the amount of $50,000.00 from
_______________________________. Include the certificate of deposit with
this application.
Name of Contact Person at the Financial Institution
Telephone number
Enclosed a check in the amount of $50,000.00 made payable to the Office of
Attorney General to be held on deposit.
PART V:
Certifications
Please check the boxes to indicate that you have read and understand the requirements.
I understand that the telemarketing entity identified in paragraph 1 must comply with
the Do Not Call list requirements contained in the Telemarketer Registration Act.
I understand that my registration is valid for two years from the date of issuance and
that I must re-register prior to its expiration.
I have enclosed a cashier’s check, certified check or money order made payable to
the Office of Attorney General to satisfy the $500.00 application fee requirement.
I understand that I am under a continuing obligation to notify the Bureau of
Consumer Protection in writing of any change in the information provided in this
registration application within 14 days.
I hereby certify that the information contained in the Registration Application is true and
correct. I further certify that I have actual authority to make this certification on behalf of
the Telemarketing Entity identified in paragraph 1. I also understand that any false
statements made herein are subject to the penalties for unsworn falsification to
authorities pursuant to 18 Pa. C.S. Section 4904.
Signature of Authorized Party:
Date:
Print Name:
Title:
Page 4 of 4
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business