Credit Card Application
PHOENIX RESEARCH INC.
P.O. BOX 589
MT. ORAB, OH. 45154-0589
Ph: 800-260-1092 ~ Fax: 800-260-3997

Credit Card Payment Information
(On File)

o VISA      o MasterCard      o American Express

o o o o o o o o o o o o o o o o
Credit Card Account Number

Expiration Date o o /o o 

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(Print name as it appears on credit card)

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(Signature)

________________________________________________
(Company Name)

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(Billing Address of Credit Card)

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(City/ State/ Zip code)

Billing Policy:
Client agrees to pay Phoenix Research, Inc. the prevailing rate for all searches requested. Invoicing is based on submission date - NOT completion date.
*** Prior arrangements must be made for NY searches. Access Fees for NY Borough searches will be invoiced and processed for electronic payment on a weekly basis ***
All others are due and payable Net 30 days from the date of the invoice. Any claims of offset or deduction on the invoice must be reported within the 30 day period.