Basic Background Check
ORDER FORM
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I would like to order a Basic
Background Check for $39.00, plus $ 2.00 shipping and
handling, for a $41.00
total.
Your Name: |__________________________________________|
Your Address: |_______________________________________|
City: |______________________| State: |___| Zip: |________|
Your E-Mail address: |___________________________|
Your Day Telephone Number: |_(____)____________|
Your Evening Telephone Number: |_(____)____________|
Your Fax Number: |_(____)____________|
***I would also
like to add:
A Misdemeanor Criminal Record Check _____
A Felony Criminal Record Check _____
A Civil Record Check _____
Select county and or counties to run the Criminal/Civil Check__________________
Please add $45.00* for each Check /Per County requested.
If unknown WhoisHe.Com/WhoisShe.Com will send a list of Counties
that is recommended by the address(es) that the party has lived at.***
*( Note: Criminal or Civil Background Checks may very in price from $45
to $65
depending on the County Requested)
Their Name: |______________________________| Male or Female: |_________| Their Address: |___________________________| Their City: |______________________________| Their State: |__________| Their Zip: |_______| Their Telephone Numbers: Home: |_(____)____________| Work: |_(____)____________| Pager: |_(___)_____________| Cell: |_(____)____________| Their Age: |______| Their DOB: |___/___/___| Their Occupation: |_________________________| Their Employer (if known): |________________________|
What is the purpose for the Background Check: |___________________|
Please let us have any other information you can supply here: |___________________________________________________________| |___________________________________________________________| |___________________________________________________________| |___________________________________________________________| |___________________________________________________________| |___________________________________________________________| |___________________________________________________________| Where did you see hear about us? |__________________| Is this the first time you have used our services |_Yes / No_| How do you wish to order? (Please check one) By Fax & Credit Card |__| By Mail and Credit Card |__| By Mail and Check |__| If Credit Card, the following information is required: Full Name of person on card: |_____________________| Credit Card Type: |____________________| Credit Card #: |____________________| Expiration Date: |________________| Amount Authorized: |$___________|
Credit Card Billing Address: |___________________________|
|___________________________|
|___________________________| Signature: |______________________________| All search results will be both e-mailed and sent by regular U.S. mail.
Please Note:
REFUNDS: If
the subject cannot be found, a flat administrative charge of $15 will be
applied for the search and the
additional $26 fee will be refunded.
and
nor its agents, shall be liable to any person, nor any or all claims or
liabilities resulting from a search. No results can be guaranteed.
and
as a matter of policy, will not provide information to individuals it knows
to be under the age of 20 nor will
and
divulge
information about individuals it knows to be under the age of 20.
and
its affiliates, agents and employees are not liable to any party for any
special, consequential, direct, or indirect damages for any reliance or
use upon the information disseminated, including but not limited to, business
interruption, lost profits, loss of programs or other data, even if
and
is expressly
advised of the possibility of such damages. In addition,
and
its affiliates,
agents and employees are not liable to any party for any special, consequential,
direct, or indirect damages for any correspondence between our clients
and their search subjects or any reunions resulting therefrom.
Any information received from
and
with the
exception of information purchased in accordance with FCRA requirements,
may not be used for purposes of deciding whether to hire an individual
for employment, renting property to an individual, or for determining an
individual's eligibility to receive credit or insurance. To the fullest
extent permitted by law, the information is provided AS IS, WITHOUT WARRANTY
OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, FITNESS
FOR A PARTICULAR PURPOSE, TITLE, IMPLIED WARRANTIES OF MERCHANTABILITY
OR NON-INFRINGEMENT.
and
uses the most current and updated databases available to compile the information
on the Comprehensive Personal Profile and Background Check in order to
provide our clients with the best results.
Please sign your full name: ________________________________
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