| Information Brokers of America Child Identity Theft Protection |
| Contact Name: |
| Contact Email Address: |
| Contact Phone Number: |
| Contact Address, City, State, Zip: |
| Billing: Child Identity Theft Protection checks cost $30 each. Payments by credit card can be made when we contact you to verify your order. |
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Please fill out the information below as completely as possible so that we may obtain the maximum amount of information about your subject.
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Name (first, middle, last):
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| Date of Birth |
Social Security Number: |
| Does this child have: Bank Account Credit Card Cell Phone |
Additional information you think may be pertinant:
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| I understand that consumer reports may contain public information that may be requested by Information Brokers of America. These reports may include the following types of information: public record information concerning my driving record, credit history, bankruptcy, criminal records from federal, state and county agencies and all previous driving records from other states. |
| By submittting this request I affirm that I am the parent or legal guardian of the child listed above. I authorize with complete understanding and without reservation, any and all agencies needed to furnish the above mentioned information.
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orders@iboainfo.com |