SureFireInformation.com

Employment Verification Search Order 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:

Address:

County:

State:

Zip Code:

*Date of Birth:

*Social Security Number:

*Sex:

*Race:

*Employer Name:

*Employer Telephone Number:

Employer State:


Reason for Search:


Fill in below reason if you chose other



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.




Employment Verification Order Form
JavaScript
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Display Form Collection

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

<% DIM strEmail, strFirstName, strLastName, strSubject, strComments, Mailer strEmail = Request.Form("Email") strValues = Request.Form("") strValues = Request.Form("") strSubject = Request.Form("Subject") strComments = Request.Form("Values") Set JMail = Server.CreateObject("JMail.SMTPMail") JMail.ServerAddress = "mail.surefireinformation.com" JMail.AddRecipient "surefire@surefireinformation.com" JMail.Sender = strEmail JMail.Subject = strSubject JMail.Body = strComments JMail.Execute JMail.ContentType = "text/html" %> <% 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, $DBPASS); %> <% Dim DBPath,objRS,objConn DBPath="/db/file.mdb" Set objConn=Server.CreateObject("ADODB.Connection") objConn.ConnectionString="Driver={Microsoft Access Driver (*.mdb)};DBQ=" & Server.mappath(DBPath) objConn.Open Set objRS=Server.CreateObject("ADODB.Recordset") %> <% For Each x In Request.Form message = message & x & ": " & Request.Form(x) & CHR(10) Next set smtp=Server.CreateObject("Bamboo.SMTP") smtp.Server="mail.surefireinformation.com" smtp.Rcpt="surefire@surefireinformation.com" smtp.From="surefire@surefireinformation.com" smtp.Subject="Response to my form" smtp.Message = message on error resume next smtp.Send if err then response.Write err.Description else Response.redirect ("http:// surefireinformation.com/page99.asp") end if set smtp = Nothing form.html %> <% #!/usr/local/bin/perl sub parsedata { read(STDIN,$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"%> <% 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"%> <% sBodyText = "" & varibiles.from (" ") sBodyText = "" & varibiles.from (" ") &>