Gaming Labs Certified Mark Online Request Form
Gaming Labs Certified Mark Online Request Form
Certified Mark Request Form
Name
*
First
Last
Title
*
Company
*
Email
*
Phone. Please provide the complete phone number that you can be contacted at if needed. Please include the area code and/or country code as applicable.
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
United States
United Kingdom
Canada
Australia
Netherlands
France
Germany
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Afghanistan
Albania
Algeria
Andorra
Antigua and Barbuda
Argentina
Armenia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Bermuda
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
Gabon
Gambia
Georgia
Ghana
Greece
Grenada
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Turks and Caicos
Country
Which GLI Standard has your product been certified against?
*
GLI-11
GLI-12
GLI-13
GLI-14
GLI-15
GLI-16
GLI-17
GLI-18
GLI-19
GLI-20
GLI-21
GLI-23
GLI-24
GLI-25
GLI-26
GLI-27
GLI-28
GLI-29
GLI-30
Other
Where will the Gaming Labs Certified Mark be used?
*
For what certified product(s) is the mark being requested? (Please provide ID number(s), GLI File Number, name(s) or other reference information).
*
Do you intend to transfer use of this mark?
*
Yes
No
Terms of Use:
*
By checking this box, I understand that I cannot provide the mark for use to other companies/entities, and it may only be used in the manner in which described within this application. Only GLI may provide the mark for use to other users.
Would you like to use your company logo in conjunction with the "Gaming Labs Certified" mark? If yes, you will be contacted to provide your logo in JPG, GIF or PNG format with a maximum file size of 50 KB.
Yes
No
Questions/Comments:
Terms of Use:
*
By checking this box, I acknowledge that I have read and understand the
PRODUCT CERTIFICATION AGREEMENT AND TERMS AND CONDITIONS
that are associated with the “Gaming Labs Certified” mark in its entirety and agree to be bound thereby. If you have any questions regarding the “Gaming Labs Certified” mark call 732-942-3999. *
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Type the letters you see in the image below.