CONFIDENTIAL NATIONWIDE PUBLIC RECORDS ONLINE
"Source Resources" <[email protected]>
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&nsbp; FREE SIGN UP - NO FAX FEES - NO MINIMUMS Free Sign-Up | Place Order | Services/Prices | Security/Surveillance Products | Email | Free User's Guide | Special Services ACCESS IS LIMITED TO LAW ENFORCEMENT, ATTORNEYS, THE INSURANCE INDUSTRY, INVESTIGATORS AND BUSINESSES. http://WWW.SOURCERESOURCES..COM Today, information is everything. Whether in insurance, government, banking, law enforcement or other fields, getting information quickly and easily is essential for smart decision making. With Source Resources, accessing critical information is easy. Using Source Resources' powerful search capabilities, you can easily search through billions of current and historical records on individuals and businesses. Whether you're investigating fraud, conducting criminal and civil investigations, locating witnesses, finding missing children or locating and verifying assets, Source Resources can deliver the comprehensive information that you need. SIGNUP ONLINE OR CALL 1-800-678-8774 FOR MORE INFORMATION ) 1996 - 2002 SOURCE RESOURCES. ALL RIGHTS RESERVED. TO SIGNUP FREE COMPLETE & PRINT THIS FORM AND FAX TO 1-800-537-3297. SOURCE RESOURCES SIGN-UP AND PAYMENT VALDATION FORM 24 Hour Toll Free Order line: 800-678-8774 / Toll Free Fax line: 800--537-3297 Company Name: _____________________________________________________________________________ Your Name: _______________________________________________________________________________ Title: __________________________________ Email: _________________________________________ Mailing address: _________________________________________________________________________ City: ____________________________________________ Sate ________ Zip______________________ Physical address: ________________________________________________________________________ City: ____________________________________________ Sate ________ Zip______________________ Phone: ___________________________________ Fax: _________________________________________ Special Note: See our catalog for details about our Diamond Discount Plan or call 800-678-8774 for details. Please indicate with an "X" which type of payment option you wish to sign-up with. he Diamond Discount Plan REQUIRES a non-refundable retainer. _____ Diamond Account or _____ General Account Please indicate your method of payment: (WE DO NOT ALLOW OPEN BILLING) Pre-payment is required! _____ Company Check / Money Order Sent with each order. (NOTE: $25.00 service fee on returned checks) _____ Establish Retainer by Mailing Funds or Check by Fax $ _____________________ _____Credit Card (We accept American Express, Dinners Club, Discover, Master Card, and Visa) The Credit Card below must be a Corporate or Company Card or the Card of the Owner, or Officer of the above Company or Corporation. Credit Card Number: ___________________________________________ Expiration Date: ____________ Holder's Name: ___________________________________________ Phone: ___________________________ (Exactly as it appears on Card) Cardholder's Address: ________________________________________________________________________ (Where the Monthly Statement is sent) City: ________________________________________________ Sate ________ Zip___________________ Cardholder's Signature: ____________________________________________ Date: ___________________ (You must sign LEGIBLY!!!) I understand that I am placing an order or orders for a search of an electronic or mechanical database through a fallible source, and assume full responsibility for inaccurate or incomplete identifying information submitted or results received. I agree that Source Resources is held harmless for errors or omissions, and cannot guarantee the accuracy or completeness of reports for the fee or fees charged. I understand that requests may not be canceled. I certify that all requests are submitted in accordance with FCRA, GLB, DPPA and all other Federal, State, or Local laws that may apply. I authorize the bank or company that issued my credit card to accept this order and future orders with the same authority as if my original signature and card imprint appeared. I also agree that neither SOURCE RESOURCES nor its personnel are responsible for the miss-interpretation of Handwritten Orders. I also understand that prices and availability are subject to change without notice, and that turnaround times are estimated and not guaranteed. I also agree to receive E-Mail and Faxed notification of new and /or special discounts. Signature: _____________________________________________________ Date: ___________________ (You must sign LEGIBLY!!!) < i> INTERNET SIGNUP FORM DRIVERS RECORDS CRIMINAL RECORDS DEATH RECORDS SSN TRACES SSN LOCATOR EMAIL US TELEPHONE NUMBER SEARCH UCC SEARCH MARRIAGE RECORDS EMPLOYMENT SCREENING CIVIL FILINGS BUSINES CREDIT REPORTS CONSUMER CREDIT REPORTS (FCRA) CELL & TOLL RECORDS