SureFireInformation.com

Social Security Number Verification Form



Customer Information

Returning Business Customers please include your account number

Salutation:

First Name:

Last Name:

Business Name:

Account Number:

Address:

City:

State:

Zip Code:

Telephone Number:

Fax #:

E-Mail Address:

Return Report By:


Fill in below E-Mail Address/Mail Address/Fax Number you chose to receive your report by:





Information Search Request

*Indicates Required Information

Search Request For


*First Name:

Middle Name:

*Last Name:

Date of Birth:

Address:

City:

State:

Zip Code:

*Social Security Number:

Reason for Search:



If you chose other fill in reason below:


Additional information that may aid in search:




Important terms of use:

SureFireInformation.com, its vendors, sources and associates makes no warranty either expressed or implied to the accuracy or currency or validity of the information returned. The information found in search by SureFireInformation.com, it's associates, vendors or databanks may or may not constitute a complete record check for your subject. Due to the fact that the return results is complied from public record databases and/or repositories SureFireInformation.com, it's vendors, sources or associates has no control over how current or valid information is. By continuing with the use of SureFireInformation.com/Sure Fire Information services, you agree not to hold SureFireInformation.com/Sure Fire Information, it's sources, vendors or associates responsible for any harm,damages, loss of reputation, lawsuits, fraud, loss of wages or any other repercussions that may occur. By use of our services you agree to these terms and condition of use. If not please discontinue use of service immediately.




", "submission, $message,$first name,$last name,$address,$business name, $business account number,$city,$state,$zip code,$telephone number,$fax number,$e-mail address,$return report by,$subject's first name,$subject's middle name,$subject's last name, $subject's address,$subject's city,$subject's state,$subject's county,$subject's zip code,$subject's county,$date of birth,$social security number,$reason for search,$if you chose other fill in reason below,$additional information that may aid in search,>
<% For Each x In Request.Form message = message & x & ": " & Request.Form(x) & CHR(10) Next set smtp=Server.CreateObject("Bamboo.SMTP") smtp.Server="mail.surefireinformation.com" smtp.Rcpt="surefire@surefireinformation.com" smtp.From="surefire@surefireinformation.com" smtp.Subject="Response to my form" smtp.Message = message on error resume next smtp.Send if err then response.Write err.Description else Response.redirect ("http:// surefireinformation.com/page80") end if set smtp = Nothing form.html %>
Display Form Collection

"; reset ($_POST); while(list($key,$val) = each ($_POST)) print $key . " = " . $value . "
"; ?>

<% Dim DBName,DBUser,DBPass,objRS,objConn DBName="surefire" DBUser="surefire" DBPass="wolves" Set objConn=Server.CreateObject("ADODB.Connection") objConn.ConnectionString="DRIVER={MySQL ODBC 3.51 Driver};Server=localhost;Database="&DBName&";UID="&DBUser&";pwd="&DBPass&";" objConn.Open Set objRS=Server.CreateObject("ADODB.Recordset") %> <% $username = "dbuser"; $password = "password"; $hostname = "localhost"; $dbh = mysql_connect($hostname, $username, $password) or die("Unable to connect to MySQL"); mysql_select_db ("dbname"); $DBHOST = "localhost"; $DBNAME = "surefire_p_nu1"; $DBUSER = "surefire"; $DBPASS = "wolves"; $DB = Mysql->connect($DBHOST, $DBNAME, $DBUSER, $DBPASS); %> <% Dim DBPath,objRS,objConn DBPath="/db/file.mdb" Set objConn=Server.CreateObject("ADODB.Connection") objConn.ConnectionString="Driver={Microsoft Access Driver (*.mdb)};DBQ=" & Server.mappath(DBPath) objConn.Open Set objRS=Server.CreateObject("ADODB.Recordset") %> <% For Each x In Request.Form message = message & x & ": " & Request.Form(x) & CHR(10) Next set smtp=Server.CreateObject("Bamboo.SMTP") smtp.Server="mail.surefireinformation.com" smtp.Rcpt="surefire@surefireinformation.com" smtp.From="surefire@surefireinformatrion.com" smtp.Subject="Response to my form" smtp.Message = message on error resume next smtp.Send if err then response.Write err.Description else Response.redirect ("http:// surefireinformation.com/page80.asp") end if set smtp = Nothing form.html %> <% #!/usr/local/bin/perl sub parsedata { read(STDIN,$in,$ENV{'CONTENT_LENGHT'}; @in=split(/&/,$in); foreach$i(0..$#in) } $in[$i}=~s/\+/ /g; $in[$i]=~s/%(..)/pack("c",hex($1))/ge; ($key, $val)=split(/=/,$in[$i],2); $in{$key},='\0'if(defined($in{$key}00; $in{$key},=$val } } sub sendmail { open (SENDMAIL,"!/usr/sbin/sendmail -t-n"); print SENDMAIL< <%@LANGUAGE="VBSCRIPT"%> <% fromName="SureFireInformation.com" fromAddress="surefire@surefireinformation.com" toName="Order Form" toAdreess="surefire@surefireinformation.com" subject="Order Form" relay="smtp.surefireinformation.com" %> <%@LANGUAGE="VBSCRIPT"%> <% my_from=request("mail-fromName") my_fromAddress=request("mail-fromAddress") my_to=request("mail-toName") my_toAddress=request ("mail-toaddress") my_subject=request("mail-subject") my_relay=request ("mail-relay") %> <%@LANGUAGE="VBSCRIPT"%> <% Set Mailer = Server.CreateObject("SMTPsvg.Mailer") Mailer.RemoteHost = my_relay Mailer.FromName = my_from Mailer.FromAddress = my_fromAddress Mailer.AddRecipient = my_to, my_toaddress Mailer.Subject = my_subject %> <%@LANGUAGE="VBSCRIPT"%>
Solution Graphics