| Sign
Up Form
|
| Are you a current Trakker or Servicing Client? |
Yes
No
If Yes, which:
Trakker
Servicing Client |
| Billing Information |
(*
Required Information) |
| Company Name
* |
|
| Mailing/Billing Address
* |
|
| Address 2 |
|
| City, State Zip
* |
,
.
|
| Contact Name |
|
| Phone Number
* |
Ext.
|
| Fax Number |
|
|
|
| Contact Information |
|
| Company Name |
|
| Your Name |
|
| Title or
Position |
|
| Phone Number |
Ext:
|
| E-Mail Address |
|
| Does your
company employ or sub contract a Computer Technician? |
Yes - Full
Time
Yes -
Sub Contract
No |
| Computer Technician's Phone Number |
Ext:
|
| Emergency Contact Name
* |
|
| Emergency Contact Phone Number * |
Ext:
|
|
|
| Method of data transfer to MFS |
Secure
Internet FTP Backup
Mail
- CD / Floppy
Current Serviced Client |
| If data will be sent by FTP:
(note: below information not
needed for clients we are servicing for) |
|
| Number of users required (if backup
by FTP) |
Users |
| Does
your company currently have any FTP software? (if backup by FTP) |
Yes
No |
| Internet
connection type? |
|
| Internet
connection speed? |
|
|
|
Type of
reporting |
| Please select your estimated number of accounts to be reported: |
|
|
|
|
| NOTE: We are currently setup to report to Transunion
only. This is due to internal policies at Esperian and Equifax. Esperian
and Equifax are requiring that any clients who wish to report via this
service MUST have no less than 500 accounts. |
Prices |
|
|
| Reporting fees: |
$45.00/Submission |
(Note: Up to 5,000 accounts - please
call 1-800-326-4112 for fees above 5,000 accounts.)
|
(Note: you may be required by your local
credit reporting agency to maintain an account with them in order
to report)
|
| How often do you wish to submit:
Monthly
Quarterly
Semi-Annually
Annually |
(Note: You will only be billed for the
actual number of accounts that you report.)
|
|
|
| Payment Information |
|
| How
do you wish to be billed? * |
|
| How
do you wish to pay? * |
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|
| Do
you agree with all of the terms and conditions? * |
|