Online Genius

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PERSON COMPLETING APPLICATION

Name
Police Agency Name:
Address:
City:
State:
Zip Code:
Position: This information will be verified before the account can be opened
Email
Phone
File Upload You must upload a copy of your department id:
File Upload You must upload a copy of your state-issued id

User Id Setup

User Name: Additional User Login's Can Be Requested
User Name
How many additional user names are required?

Disclaimer Legal Agreement:

By electing to participate in this offer, I acknowledge that I am entering into a contract, which will be governed by the laws of the Commonwealth of Pennsylvania. I represent that all information submitted by myself, as well as my organization, is true and accurate and will be used for the legal, legitimate purposes in which I am authorized to engage. I absolve Market Genius Brands, LLC d.b.a. Online Genius and its personnel of any damages incurred by any party as a result of my involvement with this contract, included but not limited to any direct, incidental, special, or consequential damages.

Online Genius and its personnel have designed this site for the legal and legitimate use of its members. By use of this site, the user warrants that the submitted information is complete and accurate and the user has the legal authority to request said information. It is also understood that Online Genius and its personnel will not be responsible for any costs, damages associated with the misuse of this site, as a result of participation in this offer.

I understand by providing false information to secure an account with Online Genius may constitute a violation of the law and can be prosecuted under the laws of the Commonwealth of Pennsylvania.
I hereby agree: *
I Do
Initials:

Verification

Please enter any two digits *Example: 12
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Online Genius reserves the right to delay any application without cause at any time. This service is strictly prepaid as you will be required to deposit funds to use our service. All unused money shall be returned upon termination of your account.