This will be used as the contact information on your faxes.
You will be able to add additional users after registering.
* Indicates a Required Field
The name of your company will appear on all faxes. Be sure to use the name most of your customers will recognize you by.
Company
*
This is your first name and you will be listed as the Administrator of this account. You will have full permission to make all changes and add other users.
First Name
Your last name.
Last Name
Provided the mailing address customers will use to send you a payment.
Address
If your mailing address is to big for one line add the rest here.
Address (cont.)
City
State
Zip Code
This will be the phone number a customer can use to contact you.
Phone
THIS MUST BE A WORKING FAX NUMBER! We will fax you your confirmation number. If you do not receive faxes at this number you will not have your confirmation number and will not be able to login to the system.
Fax
This will be your username. Your login information, account status and lost passwords will be sent here. If this is not valid you will NOT be able to login.
Email
*
8 character minimum. Must contain at least 2 numbers. No spaces or special characters.
Password
Re-type your Password to be sure it's spelled correctly.
Re-type Password
Individual users within your company will be able to choose the language they view the system in.
Language
Are you a non-profit organization? We will require proof of your non-profit status in order to qualify for special pricing.
Non-profit
Non-profit
No
This data is used to provide more meaningful statistics about our customer base. No one else will be able to see this number.
Number of Employees
This data is used to provide more meaningful statistics about our customer base. No one else will be able to see this number.
Annual Sales
Provide the url or webpage address of a page on your website where you have linked to us. At times, we will give discounts and special offers to customers with a valid link.
The link must be on a site associated with your business, we do not accept MySpace, LinkedIn or other social networking sites. See our website for further details.
Link Exchange
Link Status: :
Would you like to receive our newsletter? We occasionally send out useful information about bill collections, accounting and other business matters. We do NOT provide your email address to any third-parties.
Newsletter
Subscribe
No
You must check off each item to signify that you agree with the statement.
This debt is owed by another business. It is not owed by a consumer. Business-to-Consumer debt collection is covered by the Fair Debt Collection Practices Act. The Wikipedia
outline of the act can be found here: Wikipedia
Please type the code in the box exactly as it is shown.