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Wholesale Questionnaire

Wholesale Questionnaire

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Wholesale Questionnaire

If you are looking to utilize VeriCorp as your wholesale researching agent in the Bullitt, Jefferson, Henry, Oldham, Shelby, and Spencer Kentucky area, please fill out the questionnaire. A member of our team will reach out to you shortly after it is completed.

Wholesale Questionnaire

What is your volume per month?*

250 or less

250-500

500-750

1,000 or more

What is your expected hit ratio*

50% or more

30%-50%

10%-30%

10% or less

System Name*

What software system do you use?*

EzyCheck/Intergrated

Possible Integrated

Not an EzyCheck Integrated System

Own System

If system is not intergrated with EzyCheck, how would you prefer orders to be placed?*

Ordered via email

Logging to EzyCheck to place orders

Order via fax

If system is not intergrated with EzyCheck, how would you prefer results to be delivered?*

Sent via email

Logging to EzyCheck to pick up results

Sent via fax

Please select one of the 4 following statements concerning report quality:*

I expect all of my reports to be flawless with no errors.

I expect our reports to be accurate. I realize there will be some human error such as spelling or inaccurate timelines, as long as VeriCorp handles these issues in a responsible manner.

I agree that accuracy is important, but not nearly as important as turnaround time.

Pricing is my driving force.

Preferred Payment Terms*

Net 10

Net 15

Net 30

Preferred Payment Type*

Credit

Check

ACH

First Name*

Last Name*

Job Title

Email*

Thank you for contacting us.
We will get back to you as soon as possible.

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You need assurance. We provide that.

Call VeriCorp Today: 877-717-3515

CONTACT VERICORP TODAY

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