I, (Enter Your Full Name, and Your Business Name, herby authorize(s) Eves Broadcasting Inc. to access the following accounts listed below and I certify that I’m authorized to use and grant access to these accounts. *

(For Facebook account access we will make Eves Digital an admin of your page. Steps to do this below this form) Please note some accounts do require 2-step authentication and a phone call or in-person meeting to gain access. Before accessing your account we’ll make sure you’re available to assist in accessing your account(s). We recommend you don’t turn off 2-step authentication on any of your accounts.

Account Number 1

Account Name 1 *

Username:

Password:

Account Number 2

Account Name 2

Username:

Password:

Account Number 3

Account Name 3

Username:

Password:

Contact and Signature

Name *

First

Last

Date / Time *

Date

Time

Signature *

Clear Signature

I guarantee and warrant that I’m an authorized user of said account(s) above and that I am legally authorized to represent said company noted above. Eves Broadcasting Inc. will keep all information safe and confidential and strictly only use it to access the accounts noted on this form. Account Access is granted to Eves Broadcasting Inc. until revoked in writing preferably Thirty (30) days prior to the date of termination.

Phone