Advantage Laser Products - Customer Setup Form

Customer Setup Form

(not a credit application)

Purpose
The purpose of this form is to discourage the purchase of our product to commit Check Fraud and/or to thwart the use of stolen Credit Cards to purchase our products, as Credit Card Fraud is running rampant. We realize this is an inconvenience, but hope you understand. It is similar to your bank asking for your ID to cash a check if the teller does not know you. We could easily sell these products without any regard to security issues. However, we feel we should do our best to prevent Advantage products from getting into the wrong hands.

I am interested in purchasing

GC Former - One step check printing for QuickBooks & Quicken

Company Name:
Ordering Contact:
Street Address (no PO boxes and no Mail Center Addresses, please):
Address 2:
City, State Zip:
Phone Number (no 800's, please):
Fax Number:
E-mail:

Bank References (complete only if requested)

Institution:
Contact Name:
Phone Number:
Type of account:
Account Number :
Date Opened:

After the verification is done and email will be sent with either an activation code to remove the VOID or to let you know that you or your business could not be verified.

Software Compatibility

Quicken/QuickBooks Version

Thank you!