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New User Enrollment Form

registration tutorial

   
To join CountyRecords.com, complete this Enrollment Form and click <ENROLL ME NOW>.
This will take you to the final step where you select the Counties to search and the Billing Plans that are most appropriate for you.


You may also enroll by calling 1-877-425-3453 and asking to be enrolled as a new user in CountyRecords.com. Questions can be directed to the CountyRecords.com Administrator.

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User  Information                               

(*) = Required Information

Select a user id*
(maximum 8 characters)
 
Password must contain the following:
A lowercase letter
A capital (uppercase) letter
A number
Minimum 8 characters/Maximum 20 characters
Passwords must match

Specify your password*

Retype your password*

   
Personal Information  
First Name*
Last Name*
Preferred Mailing Address Line 1*
Preferred Mailing Address Line 2 (if required)
City*
State/Province*
Zip/Postal Code*
Country*
Primary Phone*
Secondary Phone
Fax Number
 
Business Name
E-Mail Address*

(used to send invoice copies from billing@countyrecords.com)
Do not disclose my personal data with other organizations (note: it is not the policy of CountyRecords.com to share any of your information. This is placed here to meet the OECD Privacy guidelines)

 

Credit Card Information
Enter your credit card information below.
Visa  
MasterCard    
American Express  
Discover  
Expiration Date (mm/yyyy)*
-
Security Code* (on back of card)
Account Number*

Name on credit card*


Check here if Credit Card Address is the same as Mailing Address above.

Cardholder Address Line 1

Cardholder Address Line 2
Cardholder City
  Cardholder State/Province
  Cardholder Zip/Postal Code
  Cardholder Country


User agreement in printable form (PDF)

By clicking ENROLL ME NOW, you agree to the terms of the user agreement above.