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CPD Certification Application Form

By applying for certification in the Consumer Protection Division (CPD), I hereby agree to:

• Support and comply with and support all policies, procedures, and guidelines of the Consumer Protection
Division and conduct business in compliance with the Mission & Vision of the organization.

• Respond promptly to any complaint correspondence from the Consumer Protection Division, with all
effort towards reaching a fair and reasonable settlement for all parties.

• Maintain and adhere to truth and integrity in all business and customer transactions.

• Notify the Consumer Protection Division of any change in ownership of your business or other information provided on the original application form; the
Consumer Protection Division membership is non- transferable. In the event of a transfer of ownership, the new owner(s) would be permitted to re-apply for
membership after a 12-month period from the date of transfer.

By signing this document, you agree to abide by CPD policy as stated above. Your signature also indicates that you understand the Consumer Protection Division will accept consumer complaints from time to time. You further understand that acceptance into the Consumer Protection Division does not imply endorsement of your business, firm, or product, and may not be used as such. The Consumer Protection Division had no legal authority and does not presume either party to be at fault in dispute but works as a mediator to resolve issues that arise in the normal course of doing business. Non-compliance with the above may result in the termination of your membership and the privileges of being a member of the Consumer Protection Division. Allow 3 business days for application processing.
Certification Cost Levels: *
Please select the certification fee that best applies to your membership and business level. Certification is renewable annually.
Address Block - US
Owner's Name:
Contact Person (if different than owner):
Is your company a branch, subsidiary or franchise of another firm?
Address Block - US
Business Category *
Choose a primary and secondary (if needed) category under which to place your business. 2 CATEGORY LIMIT.
Does your company require registration with the state of North Carolina or any other municipality, county, or government agency?
Format: M/d/yyyy

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