Tracers Request Membership Wizard

1 Business Information
Enter business name, primary contact etc
2 Business Addresses
Enter physical, mailing, secondary business address
3 Account Details
Specify the main account users, and AP Contact
4 GLB Certification of Use
Select all certification of uses that may apply
5 DPPA Permissible Use
Select all permissible uses that may apply
6 Billing Information
Enter your payment method and billing details
7 Documents Needed
Acknowledge documents you will provide
8 Review Application
Verify the information you are submitting is correct

Step 1 - Enter Business Information

Welcome to the Tracers online application wizard. To apply for a membership, please fill out the information below and follow the instructions displayed in the wizard. Please start by telling us about your business.

Please note that fields marked with an "*" are required.

* Business Name

* Federal Tax ID

* Social Security Number

Email Address

Web Address (www.domain.com)

* Business Telephone

Ext

Business Fax

* Are you a home based business?

Yes No

* State of Incorporation

* How long have you been in business?

* Number of Employees

* Industry Classification

* Estimated Monthly Searches

How did you hear about us?

* Security Question 1

* Security Answer 1

* Security Question 2

* Security Answer 2

* Security Question 3

* Security Answer 3

Need Assistance? (877)-592-8511 or [email protected] / M - F, 9 AM - 6 PM EST

Step 2 - Enter Business Addresses

Please enter the physical, mailing, and secondary address of your business. Please DO NOT include a P.O. Box.

Please note that fields marked with an "*" are required.

Physical Address

* Number, Street & Building/Unit

* City

* State

* Zip

* How long have you been at this address?

* Location Type

Mailing Address

Same as physical address

* Number, Street & Building/Unit

* City

* State

* Zip

* Do you have a secondary location?

Yes No

Need Assistance? (877)-592-8511 or [email protected] / M - F, 9 AM - 6 PM EST

Step 3 - Account Details

Please note that fields marked with an "*" are required.

Account Administrator(Owner/Managing Member)

* First Name

Middle Name

* Last Name

* last 4 of SSN

* Date of Birth

* Badge #

* Email Address

* Telephone

Mobile Phone

Add Account Administrator

Security Designate

(Individual responsible for security of the account, including, but not limited to providing or removing access to Tracers data and systems in accordance with Tracers Access Security Requirements.)

Same as administrator?

* First Name

Middle Name

* Last Name

* last 4 of SSN

* Date of Birth

* Badge #

* Email Address

*Telephone

Mobile Phone

Accounts Payable

Same as administrator?

First Name

Middle Name

Last Name

Email Address

Telephone

Mobile Phone

Need Assistance? (877)-592-8511 or [email protected] / M - F, 9 AM - 6 PM EST

Step 6 - Enter Billing Information

Debt/Credit Card E-Check

Please enter the details for the credit card you would like to use to pay for your subscription to Tracers. This address MUST match the address on file with your credit card.

Please note your credit card will NOT be charged until we received a completed and signed copy of the credit card authorization form and your application has been approved and activated. Also, please note that fields marked with an "*" are required.

Same as administrator and physical address

* Full Name on Card

* Card Number

* Expiration Month

* Expiration Year

Accepted Credit Cards

* Number, Street & Building/Unit

* City

* State

* Zip

* Email

* Telephone

Need Assistance? (877)-592-8511 or [email protected] / M - F, 9 AM - 6 PM EST

Step 7 - Documents Needed

* IMPORTANT INFORMATION *

Now that you have reviewed your application it's time to submit it for processing. After you have submitted your application you will receive an email with instructions for uploading the required documents below, and to check on the current status of your application.

Please have the following documents in digital format (jpg,png,gif,pdf) in order to help expedite the processing of your application:

Government Issued ID - Driver’s license, state issued ID card (front and back in color)
Bar Card
Professional license (if applicable)
Business license
Incorporation filing (if applicable)
Liability insurance/bond (if applicable)
Address verification (utility bill or lease)
Your state issued driver's license or ID card (front and back in color)

Please check here if you have read the above information.

*Account admins and security designate are required to provide identification.

I agree to the Tracers master service agreement.

Need Assistance? (877)-592-8511 or [email protected] / M - F, 9 AM - 6 PM EST

Step 8 - Review and Submit Application

Business Information [Modify Section]
Business Name
Federal Tax ID / SSN
Email
Web Address
Telephone
Fax
Are you a home based business?
Business Type
State of Incorporation
Duration in Business
Number of Employees
Industry Classification
Industry Classification Detail
Estimated Monthly Searches
How did you hear about us?
Business Addresses [Modify Section]
Physical Address
Duration at Physical Address
Physical Location Type
Mailing Address
Secondary Address
Account Details [Modify Section]
Main Account User
Full Name
Telephone
Mobile
Email
Security User
Full Name
Telephone
Mobile
Email
Account Administrators [Modify Section]
Account Administrators Name(s) and Email(s)
GLB Certification of Use [Modify Section]
Certificates of Use
DPPA Permissible Use [Modify Section]
Permissible Use
Billing Information [Modify Section]
Cardholder's Full Name
Card Number
Expiration Date	of
Account Holder's Full Name
Account Routing Number
Account Number
Telephone
Email
Full Address

Step 1 - Enter Business Information

Step 2 - Enter Business Addresses

Physical Address

Mailing Address

Secondary Address

Step 3 - Account Details

Account Administrator(Owner/Managing Member)

Security Designate

Accounts Payable

Step 4 - Select Certification of Use

Step 5 - Driver's Privacy Protection Act

Step 6 - Enter Billing Information

Step 7 - Documents Needed

* IMPORTANT INFORMATION *

Please have the following documents in digital format (jpg,png,gif,pdf) in order to help expedite the processing of your application:

Step 8 - Review and Submit Application

Step 1 - Enter Business Information

Step 2 - Enter Business Addresses

Physical Address

Mailing Address

Secondary Address

Step 3 - Account Details

Account Administrator(Owner/Managing Member)

Security Designate

Accounts Payable

Step 4 - Select Certification of Use

Step 5 - Driver's Privacy Protection Act

Step 6 - Enter Billing Information

Step 7 - Documents Needed

*** IMPORTANT INFORMATION ***

Please have the following documents in digital format (jpg,png,gif,pdf) in order to help expedite the processing of your application:

Step 8 - Review and Submit Application

* IMPORTANT INFORMATION *