Membership ID Cards for Existing Members

Buynship Inc Membership ID Card Application Form for Existing Members

Full Name

First

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Contact Number

Email Address

Name Card Weight

Physical Attributes

Date of Birth

Gender

Weight

Birthplace

Height

Eye Color

Additional ID Information (Optional)

Ontario Drivers License Number

Expiry Date

Ontario Health Card Number & Letters

Expiry Date

Indian Status Card Number

Expiry Date

Photo & Signature Uploads

Upload Photo

Drag & Drop Files, Choose Files to Upload

ID 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. There should be no distracting shadows on the face or background. The photo should be clear and of continuous-tone quality. The photo should be no more than 6 months old. Signature can be in JPEG or in PNG Format, Signature will be added to the bottom of the picture.

FRONT ID SAMPLE

BACK ID SAMPLE

Choose Correct Buynship Inc Membership ID Card – Fees

ID CARD – Shipping & Handling Included – $70.00

Rural ID Cards: Peawanuck, Attawapiskat, Kashechewan, Moosonee, and Moose Factory. Urban ID Cards: Timmins and surrounding Area

Checkboxes

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

Checkboxes (copy)

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

Credit Card & Debit Card Payment

Stripe Credit Card