Please Provide the following information.
Name
Company
Address
City
State
Zip
Phone
Email
What type of business do specialize in (Check all that apply)?
Pre-Employment Screening
Tenant Screening
Credit Report
ing
Criminal/Civil Background Checks
Private Investigations
Other
Please indicate the type of Local Area Network that you have in place:
Novell
Windows NT/2000
Drive sharing through Windows 95/98
None
Other
Number of users in your office:
Please select one of the following
1
2
3
4
5
6 - 10
11 - 15
16 - 20
21 - 30
31 - 50
> 50
- Designates a required field.