Client Registration - Page 1
 
All fields marked with an * are required.
General Information
*Main Point of Contact:
*Contact Phone:
*Contact Email:
*How did you hear about us:
Who referred you?
*Monthly Volume:
Company Information
*Company Name:
* Address:
Suite:
* City:
* State:
* Zip:
Web Address:
*Type of Business: Intended User   Mortgage Broker   Mortgage Lender   Mortgage Servicer   Other:  
If Mortgage Broker, please list all submitting lenders:
Ordering Department Information
Department:
Phone:
 
Additional Contacts
First Last Title Phone Ext Email
Accounting Contact
* First Name:
* Last Name:
* Email:
* Phone: Ext:

Billing Address
Same as Company information above
* Address:
Suite:
* City:
* State:
* Zip:
Billing Terms
Credit Card payment LRES Corporation is able to accept payment by credit card for orders placed via the LRES website. At the time the order is placed, the credit card will be pre-authorized for the standard product fee. If the amount needs to be adjusted, an LRES associate will contact you for approval prior to proceeding with the order. The actual amount charged to the credit card will be equal to the standard product fee, plus any approved adjustments. All credit card charges are non-refundable.