This verification form is only to be submitted if direct from a customer service agent. If you are having issues with authenticating through the website please call a customer service agent or open up a ticket so we can give you a call to verify your age. Please call (844) 482-1748 or open an online ticket by going to the Contact Us Page and selecting Age Verification.

If you were direct to fill out this form by a customer service agent please enter the proper information