There are items left blank. Ensure all items are filled in before submitting this form.
There is no cost to register, no exceptions. If you were directed here from another site or told there would be a fee please call us at 800-988-6221.
When making a purchase you deal directly with us and the store you are buying from. The cost should never be more than 15% above the cash purchase price when buying and there are no middlemen, ever.
Enter your full legal name. Do not use any abreviations or nick names.
Enter the address where you physically live. Do not enter a P.O. box or any other address used only for mail. Those are not acceptable.
Enter either your cell phone or home phone. We may call to verify certain information. Format it as xxx-xxx-xxxx
Enter a valid and correct e-mail address. Certain information will be sent by e-mail needing to be verified by you.
Enter your state issued driver license number. Passports, company, military, or any other ID other than state issued is unacceptable.
Enter the name of your primary employer. If self employed enter the name of the business. If retired or receiving public benefits enter the name of the agency issuing the benefit.
Enter the name of your job description. If retired, enter 'Retired' or if receiving any other public benefit indicate that, 'Unemployment, Disability, etc.'
Enter your primary employer's phone number at the location you work at. Format it as xxx-xxx-xxxx'
Enter the city where your employer is located that you work at.'
The amount that your pay check is for after all taxes and deductions.
The routing and account numbers are usually on the bottom of your paper checks. Unless you are very familiar with how to read it, call your bank and
ask for your ACH capable routing and account number. Entering incorrect information will delay or possibly cancel any ability to use ARC90.