Reactivation Request – Account Verification Form

Today's Date*

Company Name

Include if the account is set up to pay your company.

Account Owner Email Address*

Last 4 Digits of Your Social Security or Employer Identification Number*

If you are not a US citizen or company and are exempt from filing with the IRS, type "exempt."

Your website URL*

Please enter your Facebook personal profile page OR company page below.*

To find this information, go to your profile page or company page and copy/paste the URL that displays in your browser into the field below.

Please enter the URLs for two additional publicly available social media profiles.*

Options include: Instagram, Twitter, LinkedIn, TikTok, Pinterest

How will you promote. Please select all that apply.*

To select multiple options, hold the Control key and click on a PC, or the Command key and click on a Mac.