Certificate Application

Account Details

Please specify details for your account. Your account contact will receive notices regarding your Certificate application
and will be the main contact associated with your GlobalSign Certificate Center (GCC) account.

■ User Information
First Name Required
Middle Name or Initial
Last Name Required
Email Address Required	Please check email is accurate, this email address will be used in the application process

■ Registered Organization details
Organization Name Required	Specify the Organization Registered Name in full, including Inc, Ltd, NV, Plc etc
Department
Street Address 1 Required	e.g. Two International Drive
Street Address 2	e.g. Suite 330
City Required
State / County Required
Zip / Postal Code
Country Required	United States - US
Phone Number Required	e.g. 603-570-7060 or 01622 766766
Fax Number	e.g. 603-570-7059 or 01622 662255
VAT/GST Number	Please enter VAT/GST Number without country code. Please go to www.globalsign.com/support/gas/vat.html to see the required VAT format for your country
Business Directory ID / Number	DUNs (D&B) Number If you have a Business Directory ID or Number (such as a DUNs number) please enter it here
Organization Category
Your TimeZone

GlobalSign Certificate Center (GCC) Login Details

Your GCC account allows you to manage all your GlobalSign Certificates and provides fast access to ordering additional
products and renewing, reissuing and revoking current Certificates. Please create a memorable Username and Password.

Username Required	Username is case sensitive and must be 8 - 64 characters. Alpha-numeric values only (A-Z, 0-9)
Password Required	Password is case sensitive and must be 8 - 64 characters. Alpha-numeric values only (A-Z, 0-9)
Password(re-enter) Required