Fill out this form to apply for a DUNS number for your company Confidentiality Clause * At Urson, we are committed to safeguarding the privacy and confidentiality of the personal data provided by our clients. This data will only be used for the specific purpose agreed upon, with your explicit consent. We implement appropriate security measures to protect the information, and only authorized personnel will have access. Your data will not be shared with third parties unless required by law or with your explicit consent. We adhere to data protection laws and cooperate with the relevant authorities when necessary. Do you accept and acknowledge Urson’s Confidentiality Clause? I accept Phone number * Country (###) ### #### Legal name of the company * Structure of the company * LLC CORP Company legal address * Address 1 Address 2 City State/Province Zip/Postal Code Country Primary Beneficial Owner’s Full Name * First Name Last Name Secondary Beneficial Owner’s Full Name * First Name Last Name Company incorporation date * MM DD YYYY Company EIN * State of register * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minessota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Business activity * How many employees does your company have? * Thank you!