Buynship Inc Membership ID Card Application Form

Buynship Inc Membership ID Card Application Form – New Applicants

Full Name

First

Last

Date Form Media

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Contact Number

Email Address

Physical Attributes

Date of Birth

Gender

Weight

Birthplace

Height

Eye Color

Social Media Platforms

Facebook Page URL

X Page (Formerly Known as Twitter) URL

Instagram Page URL

Linkedin Page URL

Pinterest Page URL

Other Social Media Page URL like Snapchat, Whatsapp, etc

ID Photo & Signature Photo Uploads

Upload Photo

Drag & Drop Files, Choose Files to Upload

Photo Requirements: Eyes must be open and clearly visible. The photo should be in color. The background should be plain white or off-white. There should be no distracting shadows on the face or background. The photo should be clear and of continuous-tone quality. The photo should show a full front view of the head, with the face centered in the photograph and including the top of the shoulders. The photo should be no more than 6 months old.

Upload Signature (Picture of your Signature)

Drag & Drop Files, Choose Files to Upload

Signature Photo Requirements: The background should be plain white or off-white. Signatures can be in JPEG or PNG Format. Signatures will be added at the bottom of the picture on the ID Card.

FRONT ID SAMPLE

BACK ID SAMPLE

Choose Which Buynship Inc Membership ID Card

Rural Annual Membership – $100.00
Urban Annual Membership – $100.00

Rural Membership: Peawanuck, Attawapiskat, Kashechewan, Fort Albany, Moosonee, and Moose Factory. Urban Membership: Timmins and surrounding area. Membership includes an Annual Membership for 1 full fiscal year, plus Buynship Inc Membership ID Cards. Please allow 2 to 4 weeks for delivery through Canada Post Office.

Checkboxes

I confirm that all the details provided are accurate to the best of my knowledge.

Checkboxes (copy)

I grant permission for my photos and signature to be used for Buynship Inc Membership ID Card Purposes Only.

Online Payment

Stripe Credit Card & Visa Debit Cards