View source for Form:ClaimProfile

<noinclude>
This is the form used for agents to claim an existing profile on WikiProducers.com.
</noinclude>
{{{for template|ClaimProfile}}}

== Claim Your Agent Profile ==

'''Use this form to request access to your public profile.'''

;Your Full Name:
{{{field|Full name|input type=text}}}

;Your Email Address:
{{{field|Email|input type=text}}}

;Your Phone Number (optional):
{{{field|Phone|input type=text}}}

;Profile Page You’re Claiming (e.g. Agent/Jane-Doe):
{{{field|Page name|input type=text}}}

;Tell us how we can verify it's you (license number, agency, LinkedIn, etc.):
{{{field|Verification info|input type=textarea}}}

;Do you want to update the page yourself or have an editor do it for you?
{{{field|Edit preference|input type=dropdown|values=I want to edit it myself,I prefer an editor updates it for me}}}

{{{standard input|submit}}}