If you need to use our services right away, here's what you can do:
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Fax your completed membership agreement and proof of ownership to: 603-424-4032 |
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Fax the form below with your Membership Agreement. |
Once we receive this information, and approve your credit card payment, we will contact you (typically by email) so you can request reports right away!! Between 8am - 4pm weekdays, we can usually approve your membership and contact you in less than an hour. If you fax this after 4pm or on a weekend or holiday, we will approve your membership before noon on the next business day.
If you provide your email address, we will send your approval via email along with additional information to get you up and running today!!
Credit Card: Visa ___ Mastercard ____ Debit Card ____ Novus ___ Discover ____
Cardholder's Name: _________________________ Contact me at: ___________________
Email:_____________________ (To receive approval via email).
Address: _____________________City: __________________ State:______ Zip: ______
Card Number:____________________ Expiration Date:__________ Three-Digit Code_______ (on back of card)
Amount:__________
By signing below, I authorize VISA or MASTERCARD to bill my account for the amount listed above:
Authorization Signature:__________________________________ Date: ______________
Note: We also require that the first reports you request be billed to your credit card. Any reports requested after the initial approval, will be billed on the first of each month for reports requested the previous month.