Complete this Form to Start Requesting Experian, Equifax, Trans Union Credit Reports

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CREDITbase Order Form

Call (626) 963-8313 to order by Credit Card
8:30 AM to 5:00 PM PST - Monday - Friday
or Print this form , Complete it, and FAX to (626) 963-8841
or Send Company check to: MERit Systems Box 36 - Glendora, CA 91740

Ship to Company:

Attention of:

Address:

Suite, Unit:

City: State: Zip:

Phone: (______) ____ - ________ Fax:   (______) ____ - ________

Check one and copy the price...
[_] Experian $194.95
[_] Equifax $194.95
[_] Trans Union $194.95
[_] Tri-Bureau*** $294.95

Price:    $___________

See shipping
and tax information
and notices below.

*Tax:     $___________

**Shipping:    $___________

Total:    $___________

Visa/Mastercard/American Express ______-______-______-______   Exp Date: _____-_____

Name on Credit Card:

Signature for Credit Card:

*Tax
ONLY ADD $16.08 single bureau or $24.33 TRI-Bureau if CREDITbase is to be shipped to a California Address.
**Shipping
[__] Check or Credit Card Standard 3-4 days $7.50
[__] Check or Credit Card Overnight $23.50

***Notes
The TRI-Bureau version draws reports from Equifax, Experian, and Trans Union.
All programs shipped on 3.5" high density disks.
Use of this product requires that you have a signed agreement with each of the credit bureau(s) you intend to obtain reports from.
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CREDITbase Order Form Call (626) 963-8313 to order by Credit Card 8:30 AM to 5:00 PM PST - Monday - Friday or Print this form , Complete it, and FAX to (626) 963-8841 or Send Company check to: MERit Systems Box 36 - Glendora, CA 91740
Ship to Company:
Attention of:
Address:
Suite, Unit:
City:	State:		Zip:
Phone: (______) ____ - ________		Fax: (______) ____ - ________
Check one and copy the price... [_] Experian $194.95 [_] Equifax $194.95 [_] Trans Union $194.95 [_] Tri-Bureau** $294.95*		Price: $___________
See shipping and tax information and notices below.		Tax: $___________ *Shipping: $___________ Total: $___________
Visa/Mastercard/American Express ______-______-______-______ Exp Date: _____-_____
Name on Credit Card:
Signature for Credit Card:
Tax ONLY ADD* $16.08 single bureau or $24.33 TRI-Bureau if CREDITbase is to be shipped to a California Address. Shipping [__] Check or Credit Card Standard 3-4 days $7.50 [__] Check or Credit Card Overnight $23.50 *Notes The TRI-Bureau version draws reports from Equifax, Experian, and Trans Union. All programs shipped on 3.5" high density disks. Use of this product requires that you have a signed agreement with each of the credit bureau(s) you intend to obtain reports from.