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Tell us about your company
Company Name*
Federal Tax ID / EIN Number*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Billing Address
Same as physical address
Street Address Address Line 2 City State ZIP Code
Accounting Information
Your monthly invoices will be sent to the following accounting contact:
Accounts Payable*
Prefix First Last
Accountant Phone Number*
Accountant Email*
Human Resources Information
HR Contact Name*
Prefix First Last
HR Contact Email*
HR Contact Phone Number*
Additional Information
How did you find us?*
Pick your Representative
Who may we thank for referring you?
Please tell us about your industry:*
What type of business are you setting up?*
By inserting my signature and date below I certify that I have read and understand all terms and conditions of the Information On Demand, Inc. Background Report Agreement contained herein (linked to in this form). I further certify that I am a representative of this company authorized to execute the Background Report Agreement. Your signature is a PROVISION FOR ELECTRONIC SIGNATURE reading as follows: "I have read, I understand and I agree to each and every provision, schedule, and disclosure made within this document, all authorizations, directions and indemnifications and that I am an agent of this company authorized to contract for the services covered under this agreement. This information is provided voluntarily. By inserting an authorized signature and date below will have the same force and effect as my written signature. This shall remain in effect throughout the duration of this agreement up to the termination of this agreement upon oral or written notice of either party to the other."
Business Agreement
Have you read the background report agreement?*
Please click HERE to read the background report agreement now if you have not already.
Authorized Signature Required*
Date*
MM slash DD slash YYYY
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Signup Form

Tell us about your company

Accounting Information

Human Resources Information

Additional Information

Business Agreement