Create your Linkbridge account
User Info Company Info
First Name:
Company Name:
Last Name:
Phone Number:
Fax Number:
Account Security Promotional Code
If available, provide a promotional code
Confirm Password:
Terms of Service
Type Your Name Here*
*(Typing your name means you ACCEPT the terms and conditions)
Billing Authorization

I authorize Linkbridge Technologies to bill the following credit card a Case Setup Fee (currently being waved) of $500.00 plus the normal monthly fee of $1 per applicable creditor on file. I agree to pay the above amount per the card issuer agreement.

Linkbridge Technologies will email you a monthly invoice for all charges.

Credit Card Information
Name on Card:
Credit Card Type
Credit Card Number:
CSC Code:
Expiration Date: (MM/YYYY)
Billing Address Street
Billing Address City
Billing Address State:
Billing Address Zip