Preferred411.com: New Client Application

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P411 New Client Application





P411 New Client Application


Please complete the following pages to submit a new Client Application for a Preferred411 membership.

Preview a Read-Only Version of the Client Application

Terms and Conditions
Protecting your information is very important to us.  Therefore, all the Registration Forms have been set up in a secure location to encrypt the data that is submitted to us.
Preferred411 Membership
New Member Application:
  • $99.00 US Dollars
A new member application costs $99.00 and includes 6 months of membership once approved.
We accept the following forms of payment:
  • Visa/Mastercard
  • Money Order
  • Bitcoin
Once you submit the application with payment, we will start working on your verification. It will typically take at least 2 business days to complete verification.  Applications can be expedited for an additional fee.
Application Requirments
In order to set up your Preferred411 account we will most likely need personal information such as your name, phone number, and work information.
The ONLY exception is if you have references from active P411 providers and are well-established in the community.  Any personal information collected during the verification process is destroyed once we are able to approve your account.
Please understand that we are going to confirm that you're a legitimate client somehow.  We will usually check your employment info and/or provider references.  If we can verify that you're a long time member (in good standing) of a community that may be another way we can verify you.
All applicants must be verified to our satisfaction, and we can be pretty tough!  If you are not prepared to provide this info or we cannot verify your info to our satisfaction, you will not be given Preferred411 membership.
Remember, we do not keep any identifying information on file, this ensures the safety and comfort of us all!

When submitting your request to become a Preferred411 member you will need to create a Client ID and password.  After your account is set up, you may choose to list your personal preferences and other info.
If you prefer to give us your screening info via telephone, to be written on paper and shredded upon completion, please submit the entire application but leave the Screening Information page blank. Once the application has been submitted, we will then contact you for the required information. However, please be aware that this may result in a delay in processing.
Preferred411 is a tool used by many providers to help in the screening process.  They are still welcome to do as much extra screening as deemed necessary to protect themselves, so please don't be surprised or offended if you are occasionally asked for additional info.
P411 User Policy
We reserve the right to revoke any membership for any reason at any time.
If you develop a reputation of being a problem client, your membership will be revoked. If a dispute is brought to my attention that cannot be peaceably resolved, your membership will be revoked.
Memberships or applications that are denied, suspended or revoked, or cancelled by the client, will not be refunded, regardless of the amount of time that may be left on the membership.

Before proceeding with this form please check the box below stating that you agree to all the terms and conditions set forth by Preferred411.
If you do not agree to these terms and conditions then please do not proceed with this form.
If you prefer to give us your screening info via telephone, to be written on paper and shredded upon completion, please submit the entire application but leave the Screening Information page blank. Once the application has been submitted, we will then contact you for the required information. However, please be aware that this may result in a delay in processing.


   I agree to the Terms and Conditions of Preferred411.
  


Copyright � 2017 Preferred411.com. All rights reserved.
Copyright � 2017 Preferred411.com. All rights reserved.
Copyright � 2017 Preferred411.com. All rights reserved.