Secret-Info Cash Payment Mail-in Form

SECRET-INFO.COM
Instructions for cash or money orders:

1. Type in all required fields.
Typing rather than hand-writing the information in makes it easier for us to read the info you have provided.

2. Print the order form, Sign the printed page. (Required)

"IMPORTANT NOTICE" For Your Protection, We Will Contact You To Verify That You Have Requested The Search. A Valid Phone Number Where You Can Be Reached Is Required. A Search Will Not Be Performed Until We Have Contacted You.

Your Full Name (Required)
Your Company Name
Your E-Mail Address (Required)
Your Street Address (Required)
Your City, State, Zip (Required)
Your Country
Your Home Phone Number (Required)
Your Work Phone Number (Required)
Your Fax Number

For Accurate Results, Provide As Much Information Below as Possible:

Order Code
Full Name
Social Security Number
Date Of Birth
Current Address
City, State, Zip
Previous Address
Tag / Plate, State
Current Phone Number
Previous Phone Number
Drivers License Number
AKA's
Employment

I understand that I am placing an order or orders for a search on an electronic or mechanical database through a fallible source, and assume full responsibility for inaccurate or incomplete identifying information submitted or results received. I agree that MYTOYO Inc. is held harmless for errors omissions, and cannot guarantee the accuracy or completeness of reports for the fee or fees charged. I understand that requests may not be canceled & understand payment is still due hit or no hit. I certify that all requests are submitted in accordance with the FCRA 91-509 and all other laws that may apply.

I hereby swear that I will be personally liable for any and all charges made by the above named company . I understand that if any of these debts are not paid in full within Thirty (30) days from the invoice date that these debts may appear on my personal credit rating as well as that of the company. I ALSO AGREE THAT BY SIGNING BELOW I AM AUTHORIZING THE CHARGE/DEBIT INDICATED ABOVE AND THAT THIS WILL BE MY METHOD OF PAYMENT FOR FUTURE ORDERS UNLESS AGREED DIFFERENTLY IN WRITING IN THE FUTURE. I ALSO AGREE PAYMENT IS DUE HIT OR NO HIT OF INFORMATION. I further attest that I understand the Fair Credit Reporting Act (15v.s.c.1681) and certify that requests will only be made for the following reasons listed below and no other: "Permissible purposes of reports:"

A consumer reporting agency may furnish a consumer report under the following circumstances and no other:
To a person which it has reason to believe - (A) intends to use the information in connection with a credit transaction involving the consumer on whom the information is to be furnished and involving the extension of credit to, or review or collection of an account of, the consumer; or (B) intends to use the information for employment purposes; or (C) intends to use the information in connection with the underwriting of insurance involving the consumer; or (D) intends to use the information in connection with a determination of the consumer's eligibility for a license or other benefit granted by a governmental instrumentality required by law to consider an applicant's financial responsibility or status.

I also attest that all information obtained from MYTOYO Inc. will be used for lawful purposes and hold MYTOYO Inc. and/or Secret-Info.Com suppliers harmless in any actions arising from use or misuse or reliance on the information supplied. I understand that the fees are for searches, not the actual information and that while MYTOYO Inc., strives to obtain valid information, there are no warranties, express or implied, of information returned.