Registration Form

Please complete the form below. PRINT a copy for your records and a copy to mail with your payment before clicking on the SUBMIT button. Once the form and payment are received, IBIA will issue the unique biometric organization identifier value and post your registration at the IBIA website.

Registration Fees:

• Biometric organization registration (per organization) $500.00
• Format/Product identifier Registration (per identifier) $ 50.00

To ensure that the registration tables contain current data, please notify IBIA of any changes in the information in the registry tables.

Make checks payable to International Biometrics & Identification Association and mail with a copy of the form to the following address (for non-U.S. companies, please e-mail for electronic transfer information):

Name*

Company*

Title*

Address*

Suite

City*

State*

Zip*

Country*

Telephone*

Fax

Website

Email*

Company Description*

List of Format/Product Types to be Registered (Optional)
Format/Product Short Name 2 byte hex ID Descriptive Document or URL

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