Name/Company
______________________________________________________________________
Contact Name (if different)
______________________________________________________________
Address
____________________________________________________________________________
___________________________________________________________________________________
City _______________________________________ State ____________ ZIP
_____________
Phone (_____) _________________ Fax (_____) ____________________
Email _______________________________________________
Choose your: Username†
(4-8 characters)
__________________
and Password† (5-10
characters) __________________
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Please tell us where you heard about LienSource:
[ ] Web Search at
________________________
[ ] Referred by
___________________________ |
Print and mail this form with check to:
LienSource
7016 Hearth Lane
Macungie, PA 18062-9249
Make check payable to LienSource. Do
not send cash.
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By use of the service, the subscriber agrees to the Terms and
Conditions stated on the LienSource website. Pricing subject to change.
LienSource is a registered Servicemark of Savid Resource Corporation.
† Username and Password are subject to confirmation and
availability. If a change is required you will be notified by email.
‡ Cancellation of account must be made in writing via email
to sales@liensource.com or via United States Postal Service to the above
address. Refund issued after complete settlement of account with regard to list
purchases. Savid Resource Corporation reserves the right to use refund monies
for full or partial settlement of unpaid account with balance (if any) .
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