Account Application

Instructions: Please complete this form and print it on your printer. ALL information must be included. Application is to be signed by principal of the company or authorized corporate officer only. Please attach a copy of your business or professional license.

Please return the completed application by fax to (877) 246-4059, or by mail to:

Northwest Location Services
PO Box 949
Wauna, WA 98395

If you are an existing client, please give us your account number: _____________

OnlineSearches.com Account Application

About Your Business:

Company Name

Organization Type Sole Proprietor Corporation Partnership LLC

Business Activity Type Investigations Attorney or Law Firm Government
Real Estate Other ________________

License Type and #

Please attach a copy of your business or professional license.

Billing Address

City, State, Zip Code

Physical Address

City, State, Zip Code

Phone #

Fax #

Password Requested 6 or more characters

Contact Information / Personal Inforamtion:

Position

Full Name

Home Phone #

Your e-Mail Address

Social Security #

Birth Date

Home Address

City, State, Zip Code

TERMS OF SERVICE

1. Data files, online and otherwise, may contain errors. Data files, online and otherwise, are kept up to date to the best of our ability and judgment. Client understands that any and all searches used are for information purposes only and should not be used as the basis for any decision, report, or conclusion without independent verification.

2. Client is responsible for all use or misuse of any and all information provided under this account. Client agrees to indemnify and hold harmless Northwest Location Services, it's owners, employees, agents and vendors, from any liability resulting from clients use of any and all information provided to client.

3. Client will be billed periodically for services rendered. All bills are DUE UPON RECEIPT. Any bill not paid within 10 days may be charged a 5% late fee and interest at the rate of 2% per month. Service may be suspended or terminated at any time for failure to pay promptly.

4. Client assumes responsibility for all costs incurred by Northwest Location Services in collection of this account should it become delinquent.

5. Client is responsible for all charges incurred by use of computer passwords and other access information provided for this account. Client agrees to change passwords often and to notify Northwest Location Services IMMEDIATELY in the event of any indication or suspicion that the password or other access information may have, or will, come into the possession of any person not authorized for access.

6. Exclusive venue for any legal or other action arising from this agreement, collection or otherwise, shall reside with the courts of Pierce County, Washington, or otherwise, at the sole discretion of Northwest Location Services.

7. Client may not under any circumstances resell any information provided to them under this agreement to any third party without written authorization from Northwest Location Services.

I certify that I have read and understand, and agree to, each of the above terms of service. All statements made on this application are true and correct, and I understand that said statements are used as a basis for considering application approval.

Signature: ________________________________________ Date: ____________________

Printed Name: _____________________________________ Position: ________________________

About Your Business:
Company Name
Organization Type	Sole Proprietor Corporation Partnership LLC
Business Activity Type	Investigations Attorney or Law Firm Government Real Estate Other ________________
License Type and #
	Please attach a copy of your business or professional license.
Billing Address
City, State, Zip Code
Physical Address
City, State, Zip Code
Phone #
Fax #
Password Requested	6 or more characters

Contact Information / Personal Inforamtion:
Position
Full Name
Home Phone #
Your e-Mail Address
Social Security #
Birth Date
Home Address
City, State, Zip Code

If you wish to have access to SSN trace products, please also complete this form.

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Signature: ________________________________________	Date: ____________________
Printed Name: _____________________________________	Position: ________________________