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please contact the Accurate Lien on (480) 941-0844

New Customer Registration Form


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In order to sign up with us, please fill out your company's information at the first section blow
so we can have your company setup as our new client. If your company already has an account with us, please contact the primary user of your company who will get you sig up:

  • Client Info

( *Required Fields )

ID

DisplayName

* Your Company's Name

* Address1

Address2

* City

* State * Zip

* Phone

Fax

Client Alt Phone

* Company's Contact Name

* Company's Contact Title

* Company's Contact Email

Client Website

* Service Agreement


Accurate Lien Customer Service Agreement

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* Billing Name

* Address1

Address2

* City

* State * Zip

* AP Contact Name for Paperless Billing

* AP Contact's Email for Paperless Billing

Then fill out your information as the user under your company above.
You will be the primary user for your company, you can setup other users under your company once you finish this signing up process:

( *Required Fields )

ID

* Your/Users First Name

* Your/Users Last Name

* Your/Users Title

* Please choose your username

* Password


 Click here to receive your computer generated password

* Enter User's Email

AccessLevel

ActiveAccount

(Activate/De-activate the user account)

Receive Issue Report

(Receiving the prelien issue report email)

Receive Prelien Email Copy

(Receiving the completed prelien copy email)

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