Company Name*
First Name*
Last Name*
Address*
Address 2
City*
State*
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District of Columbia
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Zip*
Main Phone*
Email*
Verify Email*
Please list all phone numbers that will be accessing our system.
Phone Numbers
Phone Numbers
Phone Numbers
Phone Numbers
Phone Numbers
Phone Numbers
Phone Numbers
Phone Numbers
Phone Numbers
Phone Numbers
PAYMENT & BILLING OPTIONS
Option 1 : Pay by Direct Invoice
Direct Billing
Direct Billing (Due within 14 days of invoice)
Option 2 : Pay by Credit Card
Payment Type
Select One
American Express
Mastercard
Visa
Cardholder Name
Credit Card Number
Exp Date
Option 3 : Pay by ACH Direct Debit
Bank Routing Number
Bank Account Number
Account Holders Name
CHECK VERIFICATION PROGRAMS
A NON 900 NUMBER WILL BE ISSUED FOR ACCESS.
YOU ARE BILLED AT THE SAME RATE AS OUR 900 ACCESS.
Your access number and PIN will currently allow you to verify checks from these institutions:
Prompt 1:
AEDC Federal Credit Union
Prompt 2:
Apple Bank
Prompt 3:
Bank of America/Fleet
Prompt 4:
Bank of the West
Prompt 5:
Comerica
Prompt 6:
Eagle Legacy Credit Union
Prompt 7:
People's Bank
Prompt 8:
PNC Bank
Prompt 9:
Sterling Bank
Prompt 10:
TCF Bank
Prompt 11:
UMB
Prompt 12:
Wescom Credit Union
Billing and Payment.
Usage charges are billed in arrears. Payment of all charges is due
FOURTEEN days (14) from the date of the invoice. Billing cycle end
dates may change from time to time. If you have authorized payment by
credit card, no additional notice or consent will be required for
billings to that credit card or account. You will advise us of any
changes to your credit card account, such as account number or
expiration date changes. Time is of the essence for payment. Acceptance
of late or partial payments (even if marked "Paid in Full") shall not
waive any of our rights to collect the full amount due under this
Agreement. Notice of any disputes must be in writing and received by us
at our address within ten days after the invoice date or you will waive
any objection.
Default/Termination.
If you fail to pay any amount owed to us within 7 days after receipt or
you have in the past failed to pay amounts due us or an affiliate of
ours, or if you breach any representation to us or fail to perform any
of the promises you have made in this Agreement, or if you are subject
to any proceeding under the Bankruptcy Act or similar laws, you will be
in default and we may, in our sole discretion and with or without prior
notice, suspend or restrict Service and/or terminate this Agreement, in
addition to all other remedies available to us. We may require
reactivation charges to renew Service after termination or suspension.
Upon termination, you are responsible for paying all amounts and
charges owing under this Agreement, including any applicable
cancellation fee. You agree to pay all costs including attorney’s fees,
collection costs and court costs we incur in enforcing this Agreement
through any appeal.
Accept Terms*
I ACCEPT THE TERMS AND CONDITIONS*