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Safe Return Program Registration


  1. 1. Person To Be Registered
  2. 2. Registered Person Details
  3. 3. Registered Person Vehicle Information
  4. 4. Primary & Secondary Contacts
  5. 5. Acknowledgement
  • Person To Be Registered

    1. (i.e. Verizon, Sprint, T-Mobile, AT&T, etc....)
    2. Please, describe gender here.
    3. Race*
      Select All That Apply
    4. Ethnicity*
      Select One
    5. Attached and Upload a Quality Digital Photo of Person to be Registered