Create User No set up fee, no monthly fees, no annual fees.

Once you’ve completed this sign up form, an Implementation Manager will contact you via phone or email within four business hours to let you know that your account is active. If you have any questions about the sign up process please call 555-555-5555 or email us.

Personal Information

User Name:  

Password:  

Confirm Password:

First Name:  

Last Name:  

Phone Number: -  

E-mail:    

Fax: -

Company Profile

Please enter the following information so we have an accurate record of your business.

Create a Company ID:  

Name:  

Address:  

City:  

State:  

Zip Code:    

Accounting Email:    

Accounting Fax: -

Payment Options

Please choose the payment option that best suits your needs.

Plastic Print Shop Credit: Choose this option if you would prefer to be invoiced monthly. (Backup credit card may be required)
Credit Card: Choose this for the credit card auto-pay option. We would invoice you monthly and automatically charge your card the following month. You'd receive a copy of your invoice and payment receipt via email.

Other Information

Please enter the following information so we can better serve your needs.

Individuals screened per month?

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