CLICK HERE TO SIGN & SUBMIT YOUR AUTHORIZATION FORM ELECTRONICALLY

*** IF YOU ARE HAVING TROUBLE SUBMITTING ELECTRONICALLY USING THE ABOVE LINK, you may download and print the form:

CLICK HERE TO DOWNLOAD THE AUTHORIZATION FORM AS A PDF;  simply fill out and sign, and either E-mail the form (to the email address on top of the form) or fax the form (to the fax number listed at the top of the form)