Service Bureau Application For Credit
Existing Checkpoint Customer
* Mandatory field.
Select your country:
As an existing Checkpoint customer, please fill out all of the items below and submit. This will allow us to set up your new CheckNet account without the need for a complete credit application. NOTE: All fields marked with an asterisk are mandatory and must be filled in to submit.
Customer Account No.: *
This can be found on Consolidated invoices at the top center of the page next to the customer name. On regular invoices, this number can be found in the upper right hand corner. The Customer Number is 5 or 6 digits in length.
 
Company Name: *
Contact Name: *
Phone Number: *
Email Address: *
For which retailer do you tag today?  *
For which retailer are you planning to add?  *  
Are you receiving your orders from someone besides the retailer (i.e From an Agent/Vendor) :
Select for which retailer you want to be set up:   
What ID has this Retailer assigned to you?