Member Registration - BACKGROUND-CHECK.COM

Create Account

Username *

Password *

Confirm Password *

Your username can be from 6-20 characters. It must start with a letter, and may contain only letters (A-Z, a-z) and numbers (0-9). Your username may contain capital letters but it is not case sensitive.

Your password can be from 6-20 characters. It may contain only letters (A-Z, a-z) and numbers (0-9). Your password IS case sensitive, so be sure to use the correct case where necessary. Your password must have at least 1 lowercase letter, at least 1 uppercase letter, and at least 1 number.

Personal Information

First Name *

Last Name *

Email *

Confirm Email *

Billing Information

Card Holder Name *

Credit Card Number *

Security Code/CVV *

Month *

Year *

Address Line1 *

Address Line2

Billing City *

State/Province/Region *

ZIP/Postal Code *

Country *

Phone

Company Name

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