This is not a request form

THIS IS A CHANCE TO BE CONSIDERED.
ERASE IT NOW DOES NOT OFFER SERVICES TO THE PUBLIC.

THIS APPLICATION DOES NOT GUARANTEE ACCESS.
MOST ARE DENIED. A SELECT FEW ARE CONTACTED.
WE SUGGEST YOU ANSWER TRUTHFULLY — AND CONCISELY.

DIRECT CLIENT CODE ORDER

Personal information

Encrypted communication only — you’ll receive instructions if accepted
Optional — but recommended for encrypted verification

Affiliation & Positioning

Are you applying on behalf of yourself or someone else?
Are you connected to an existing client of Erase It Now?(Required)

Intent & Justification

Disclosure Agreement

Untitled(Required)
Untitled(Required)
Untitled(Required)
If accepted, you will be contacted. If denied, you will hear nothing.