etitlesearch.com new account signup form · etitlesearch.com new account signup form. date ....

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eTitleSearch.com New Account Signup Form DATE CONTACT INFORMATION COMPANY NAME ACCOUNT CONTACT PERSON STREET ADDRESS CITY STATE ZIP CODE PHONE NUMBER EMAIL ADDRESS BILLING INFORMATION You can use a VISA, MasterCard, Discover or American Express credit card to complete your Credit Card Approval Form during the signup process. Credit Card transactions are posted around the 15th of each month for the prior month transaction fees. “PropertyInfo Corp” is what will show on your statement. A copy of your eTitleSearch invoice is available online by clicking the “View Invoices” link from the website. This information does not include signup fees, or taxes SELECT STATE / COUNTY & LEVEL OF SERVICES SINGLE COUNTY Simple Click Charge Account Monthly Subscription 1 Monthly Subscription 2 Monthly Subscription 3 Click here to view available Counties Price Schedules http://www.etitlesearch.com/available.asp STATE STATE MULTIPLE COUNTIES SELECT LEVEL OF SERVICES

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Page 1: eTitleSearch.com New Account Signup Form · eTitleSearch.com New Account Signup Form. DATE . CONTACT INFORMATION. COMPANY NAME ACCOUNT CONTACT PERSON. STREET ADDRESS CITY. STATE ZIP

eTitleSearch.com New Account Signup Form

DATE

CONTACT INFORMATION

COMPANY NAME ACCOUNT CONTACT PERSON

STREET ADDRESS

CITY STATE ZIP CODE

PHONE NUMBER EMAIL ADDRESS

BILLING INFORMATION You can use a VISA, MasterCard, Discover or American Express credit card to complete your Credit Card Approval Form during the signup process.

Credit Card transactions are posted around the 15th of each month for the prior month transaction fees. “PropertyInfo Corp” is what will show on your statement.

A copy of your eTitleSearch invoice is available online by clicking the “View Invoices” link from the website. This information does not include signup fees, or taxes

SELECT STATE / COUNTY & LEVEL OF SERVICES

SINGLE COUNTYSimple Click Charge Account

Monthly Subscription 1

Monthly Subscription 2

Monthly Subscription 3

Click here to view available Counties Price Schedules http://www.etitlesearch.com/available.asp

STATE

STATE MULTIPLE COUNTIES

SELECT LEVEL OF SERVICES

Page 2: eTitleSearch.com New Account Signup Form · eTitleSearch.com New Account Signup Form. DATE . CONTACT INFORMATION. COMPANY NAME ACCOUNT CONTACT PERSON. STREET ADDRESS CITY. STATE ZIP

LOGIN INFORMATIONAll accounts must have at least 5 characters, but no more than 20 in the Login name & Password fields. Each account will be charged a one time setup fee per user, and per county. (See your pricing schedule for additional information). Monthly Subscription Accounts are limited to ONE LOGIN ACCOUNT.

LOGIN PASSWORD

EMAIL WEBSITE / PUBLISHING COUNTY INFORMATIONList any additional staff members that would like to receive emails from us as we place new counties online, access issues, and eTitleSearch product updates.

EMAIL ADDRESS

TERMS, USER AGREEMENT & PRIVACY POLICYPlease review the Terms, User Agreement & Privacy Policy information from the eTitleSearch.com website. The use of this service by any businesses offering title insurance or title evidence is strictly prohibited unless satisfactory arrangements have been made with the publishing provider. The publishing provider reserves the right to disallow, discontinue or block your use should it determine, in its sole discretion, that you are not using this website, the database reports or services in accordance with this agreement. The publishing provider will enforce this restriction by all legal means available including seeking temporary and permanent injunctions including damages and attorneys fees if appropriate.

If you agree, please place your initials in the following area:

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