CLICK HERE for SECURE FORM
LoanProz.com
- Credit Reporting Account Registration - Step 1 of 2

Please complete the following information and press the Submit button. You will then be presented with a personalized LoanProz.com Client Services Agreement and instructions for account approval. 
By completing this agreement, you authorize the provider to investigate and inspect your physical location, IF required to establish the account.  If you are not currently an EZdesk / LoanProz member, you must become one.  The charge for account set-up is $39 plus $8.95 per month.  IF a physical inspection is required of your business location, a fee of $79 will be charged to your credit card at the time the inspection is required by us or providers.

Prices Per Report

[FrontPage Save Results Component]

Account Setup Questionnaire - Company Information

Items marked with an asterisk (*) are required field entries.

* Today's Date:
* Check Member Status:   Silver/Premier Membership Required
User Name:
* Contact Name:
* Email:
* Company Name:
Contact Title:
* Address 1:
Address 2:
* City:
* State:
* Zip: - Zip+4 Optional
* Telephone: Ext: 
Facsimile:
Typical # of Merged
Reports per Month:
  If you are doing less than 3 reports per month, this service is NOT for you.
Payment
Method:
Credit Card  (Required)

Billing Info / Phone per Credit Card Account.  (IF different above)

Card Holder Name:
Address 1:
Address 2:
City:
State:
Zip: - Zip+4 Optional
Telephone: Ext:
Email:
Credit Care Type:  
Credit Card Number:  
Credit Card Security Number:  

Information Usage

* Specific purpose
for use.  Modify
if different:
 When you press the Submit button, you will be directed to Step 2 of 2 in the registration process.
   Click and wait.  Your agreement is being prepared.

Service Provided by and Billed Through:

Cogent Corp International

4520 Executive Drive, Suite 215

San Diego, CA 92121


1555 East Flamingo Road
Suite 155
Las Vegas, Nevada 89119-5292

 
©2003-2007 EZdesk, Inc. All rights reserved.
©2007 Cogent Corp International. All rights reserved.
All trademarks and servicemarks are the properties of their respective owners.

Last modified: 2007-11-20T00:56:37-0600