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NEW ACCOUNT SET UP REQUEST
Fields marked with (
*
) are mandatory
Success
Section A: Client information
Legal company name
*
:
Attention
*
:
Address
*
:
Telephone
*
:
FAX :
Email
*
:
CHECK THIS BOX IF THE INVOICE MAILING ADDRESS IS THE SAME AS ABOVE, IF NOT PLEASE PROVIDE BELOW :
BILLING ADDRESS :
Telephone :
FAX :
Email :
I would like to receive the reports in
*
English
French
SECTION B: SERVICES
National Criminal Record
Education Verification
Exit Interview
Credit Check
Accreditation Verification
Psychometric Tests
Civil Record
Driving Record
Provincial Criminal
Employment Verification
I.D. Verification
Standard Reference
International Security
Comprehensive Reference
Bankruptcy Search
SECTION C: USER MANAGER
User Manager 1
Last Name
*
:
First Name
*
:
Telephone
*
:
FAX :
Email
*
:
SIGNATURE :
User Manager 2
(Optional)
Last Name :
First Name :
Telephone :
FAX :
Email :
SIGNATURE :
User Manager 3
(Optional)
Last Name :
First Name :
Telephone :
FAX :
Email :
SIGNATURE :
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