Billing Verification ID Verification Upload a scanned copy of your valid driver license/government issued photo id.File* Drop files here or Select files Accepted file types: jpg, jpeg, png, pdf, Max. file size: 1 MB, Max. files: 2. Address Verification Upload a scanned copy of your bank statement or utility bill or phone bill. ***Important: The address shown on this document must match the address shown in your order.Address Verification Upload a scanned copy of your bank statement or utility bill or phone bill. ***Important: The address shown on this document must match the address shown in your order.Payment Verification* Drop files here or Select files Accepted file types: jpg, jpeg, png, pdf, Max. file size: 1 MB, Max. files: 2. If paying with a credit card, upload a photograph or scanned copy of both sides of the credit card if used to pay for this order. The cardholder name, expiry date and the last 4 digits of the card number should be visible on this document. Credit Card FrontAccepted file types: jpg, jpeg, png, pdf, Max. file size: 1 MB.Credit Card BackAccepted file types: jpg, jpeg, png, pdf, Max. file size: 1 MB.Location Confirmation I confirm my IP as below. Your IP: 89.248.172.115 hereby agrees to all charges as posted by Fast Moose for the services provided by Fast Moose. I agree to hold Fast Moose harmless of any billing disputes, chargebacks, etc related to the purchase of said services from Fast Moose. agree and certify that the information submitted hereto is accurate and has been reviewed prior to signing this document.SignaturePhoneThis field is for validation purposes and should be left unchanged.
