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New Account Application

New Account Application

* Required Fields
* Company Name: * Telephone:
Physical Address
* Street Line 1: Street line 2:
* City:  
* State: * Zip Code:
Billing Address
* Street Line 1: Street line 2:
* City:  
* State: * Zip Code:
Business Fax Number:
* Industry:    
Primary Contact Information
* Name: * Title:
* Telephone: Fax:
* Email Address:
Primary Contact's Business Address
* Street Line 1: Street line 2:
* City:  
* State: * Zip Code:
Select the service(s) in which you are interested:

* Total Number of Employees:  
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Please list any professional association to which your company belongs:
The person listed above as the Primary Contact will be contacted by a SingleSource Account Representative.
News & Events
SingleSource Is Now a Service Offering of ClearStar, Inc.
October 12-14 Single Source at National HCAOA Conference, Kansas City
"“Thank you so much for the screening services that SingleSource provides to @WORK Personnel & Medical Services! By using your services we have been able to effectively streamline our hiring process. SingleSource has limited the time it takes to bring our employees through @WORK’s stringent credentialing process, all while providing us with a cost-effective solution to our screening needs! Now with SingleSource Services’ HR Verification service we stand to position ourselves further ahead of the competition; Thank you SingleSource Services!”"

Jason Leverant
@ Work Personnel & Medical Services
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SingleSource Services
A Service Offering of ClearStar Incorporated
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5955 Shiloh Rd E | Suite 104 | Alpharetta, GA 30005-8375 | USA
800.713.3412 toll free | 877.835.5787 toll free fax
904.241.1821 office | 904.241.0601 fax