Simply fill out the Reliant Express Verification form below. We will contact you immediately with questions or within 24 hours to provide a no obligation offer. Please call 877-850-0998 now for immediate assistance.

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  • Business Information

  • Personal Information

  • Please enter a value between 00001 and 99999.
  • Minimum Business Requirements include:
    • More than $100,000 in annual sales
    • In business greater than 6 months
    • No open bankruptcies
  • Declaration

    I hereby certify (i) the information above is true and correct, (ii) you are hereby authorized to investigate all bank, credit and trade references, and said references are hereby authorized to release any requested information to you or your nominee, (iii) such authorization shall extend to obtaining personal credit profile in considering this application and subsequently for the purposes of update, renewal or extension of such credit or additional credit for reviewing or collecting the resulting the account, (iv) this information may be transmitted by us to you and by you to underwriter(s) for the purpose of granting one credit, either electronically or manually, and that by submitting this application, I take full responsibility for transmission thereof, (v) I am over 18 years of age, (vi) I acknowledge my rights under the Fair Credit Reporting Act, (vii) I consent to receive facsimiles and emails sent Reliant Services Group and its affiliates for the purposes of transmitting account updates, requests for information and notices, and (viii) this request is for business and not for consumer purposes.

    Use of Your Personal Information

    Reliant Services Group collects and uses your personal information to operate and improve its sites and deliver the services or carry out the transactions you have requested. We use the information we collect to provide the services you request, to inform you of other products or services offered by Reliant Services Group and its affiliates, and to send you relevant information related to Reliant Services Group services. We do not sell, rent, or lease our customer lists to third parties.