Company Information
Company Name (If an individual, use your name as the company name)
Address
Suite No. City State / Zipcode
/
Telephone
ext.  
Fax    
 
Create a Username and Password to access your account
First Name Last Name E-Mail Address
User Name Password re-enter Password
Challenge Question:
Answer:
 
What type of account would you like to setup?
Pay-As-You-Go Account: Pay for your searches as you order them with a major credit card.
Escrow Account: Pre-pay for your searches by depositing a minimum of $100.00 into an escrow account.
Credit Account: Receive invoices for the searches you order (requires credit approval from First Priority Screening).
  Guarantee my account with a Personal or Company Credit Card