Affiliation Verification Form

Individual License Purchases for Threat Observation or Threat Awareness

Thanks for your order! Please complete and submit this form so we can verify your affiliation and get you enrolled. To facilitate this process, we will copy your email correspondences with your identified point of contact.

Feel free to email us directly with any questions to info@secondsight-ts.com. We appreciate your business!

Name

First Name

Last Name

Order Number

Your Order Number. Not Required.

Organization Name

Your law enforcement, military, or security-related employer.

Your Role and Title in the Organization

Your Official/Work Email

If different from email used at purchase.

Organization Address

Organization Point of Contact (POC) Name

Supervisor or administrative contact that can confirm your employment or role.

POC Email

POC Phone

Country

(###)

###

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Notes or Comments

Any additional information that would help us verify your affiliation.