Name ______________________________________________________________ Firm/Company _____________________________________________________

Address _____________________________________________________ City _____________________________ State _________ Zip ____________________

Phone ( ) _______________________ Fax ( ) ___________________________ E-Mail _______________________________________________________

PAYMENT INFORMATION:

Credit Card Billing Info (required): Please charge my: Visa MasterCard American Express Discover

Credit Card Number _________________________________________________________________________ Exp Date ___________________________________

Card Holder Name ___________________________________________________________________________ CSC* _______________________________________

Billing Address _______________________________________________ City ______________________________ State __________ Zip ___________________

Authorized Signature _____________________________________________________________________________________________________________________

Amount Enclosed _____________ Please indicate Counties ____________________________________________________________________________________

Please indicate the user ID and password you would like to use to log-in to Redloc (7 characters or less).

User ID___________________________________________ Password _______________________________________

How did you hear about our service? ____________________________________________________________________

Business Lead Information at Your Fingertips

FOR OFFICE USE ONLY

Date:

Pub:

Account #:

Exp:

To order, please mail this form to: REDLOC INFORMATION SERVICES, 915 E. First Street, Los Angeles, CA 90012or fax form to (213) 229-5481. For more information, please call Client Services at (866) 531-1492.

Available Counties:

www.redloc.com

SOUTHERN, CA

Los AngelesRiversideSan BernardinoOrangeSan Diego

NORTHERN, CA

Santa ClaraSacramentoAlameda**Available for Bulk Sale only

REDLOC Business Marketplace (Online)

FICTITIOUS BUSINESS BULK SALES

Southern Northern Southern

Prepay 3 Months

$557 First county $420 First county $175 First county

$367 Each additional $268 Each additional $147 Each additional

Prepay 1 Year

$1633 First county $1227 First county $425 First county

$1136 Each additional $857 Each additional $284 Each additional

California Monthly Specials$573 For all of Southern $403 For all of Northern $238 For all of SouthernCalifornia month-to-month California month-to-month California month-to-month

GET CONNECTEDREDLOC

*This is the 3-digit security code on the back of your credit card or 4-digit code on the front of your American Express card. There is a $25 cancellation fee for early termination.

**OFFER VALID UNTIL APRIL 30, 2019