QAS Info Required

You will need for EACH;

Person

  1. Full Name at Birth (max 40 characters) *
  2. Email address you wish to use for email for notifications *
  3. Provide a unique Nick Name for each person and or service (this can be the first name of each person as long as it it not used twice) *
  4. Cell Phone Number (will be used for future features) *
  5. What service do you desire ? * (Empowerment, HappyZapper, Custom)
  6. Sex at BIRTH *
  7. Date and time of Birth *
  8. Street Address of Birth *
  9. City of Birth and State of Birth *
  10. Country of Birth *
  11. GEO – Latitude (eg. 45.44556677)
  12. GEO -Longtitude (eg. -45.44556677)

Please use google maps and find the physical location of birth. Enter the LONGITUDE.

Location

  1. Street Address of Location to be balanced (max 30 characters) *
  2. Email address you wish to use for email notifications for your Location Services *
  3. Nick Name for Emails (unique for this location) *
  4. Cell Phone Number (will be used for future features)
  5. Date and time you took possession or moved in (for time guess if you are not sure) *
  6. City and State of Location *
  7. Country of Location (max 25 characters) *
  8. GEO – Latitude (eg. 45.44556677) *
  9. GEO -Longtitude (eg. -45.44556677) *

Please use google maps and find the physical location. Enter the LONGITUDE.

Business

  1. Name of Business *
  2. Email address for email notifications for QAS Business *
  3. Nick Name for Emails (unique for this Business) *
  4. Cell Phone Number (will be used for future features)
  5. Date and time you took began / purchased the Business (for time guess if you are not sure) *
  6. Business Address *
  7. City and State of Business *
  8. Country of Business (max 25 characters) *
  9. GEO – Latitude (eg. 45.44556677) *
  10. GEO -Longtitude (eg. -45.44556677) *

Please use google maps and find the physical location GEO coordinates.

Situation

  1. Situation (max 40 characters) *
  2. Email address for email notifications for QAS Situation *
  3. Nick Name for Emails (unique for this Situaiton) *
  4. Cell Phone Number (will be used for future features)
  5. Date and time situation occurred (for time guess if you are not sure) *
  6. City and State where the situation occurred. *
  7. Country where situation occurred (max 25 characters) *
  8. GEO – Latitude (eg. 45.44556677) *
  9. GEO -Longtitude (eg. -45.44556677) *

Please use google maps and find the physical location GEO coordinates.

Website

  1. Website URL (max 30 characters) *
  2. Email address for email notifications for WebSite Service *
  3. Nick Name for Emails (unique for this Website) *
  4. Cell Phone Number (will be used for future features)
  5. Date and time Website was created / launched (for time guess if you are not sure) *