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Create User
Please provide us the primary contact information and secure access preferences for your new account.

User Id: *  at least 8 characters w/no spaces
Password: *  Password Standards
Re-enter Password: *
First Name: *
Last Name: *
Phone Number: *
() - Ext.
Email: *
Fax: () -
Report Delivery and 
Communication Method:
* Email  Fax  Online

Company Profile
Please let us know a little about your company so we can serve you better.

Create a Company ID: *  at least 6 characters w/no spaces or special characters
Company Name: *
Address: *
Zip Code:
Country: *
Accounting Email: *
Accounting Fax: () -
Please let us know a little about your business so we can customize your experience with us. What product or service do you provide? What type of clients do you serve?: *
Payment Options
Please choose the payment option that best suits your needs.

  Credit: To establish a company credit account and monthly billing, please complete and return the credit application provided by selecting this option.
  Credit Card: To simplify your billing, we accept major credit cards. You will have the opportunity to approve your order and the pricing before your card is accessed, every time you order.

Other Information

Please identify your industry, so we can offer the best screening solutions *
Individuals screened per month? *
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