Sign Up for ID Doctor

Sign up for ID Doctor

Please fill out this form completely. Once you have submitted the completed form, you will be emailed a receipt, and provided with a login and password to access all the features of ID Doctor.

Your Information
Your Name First Last
This is the name of the primary contact person at your company.
Company Name
Email

Please add info@idtlp.com to your safe senders list
Phone - (###) - ### #### () (Extension)
The phone number and extension of the primary contact person.
Billing Address
Address
Street Address

Address Line 2
City State Zip Code
Payment Information
Payment Options Pay $250.00 now and $25.00 monthly Pay one-time rate of $500.00
Credit Card Type
Credit Card Number
Expiration Date MM YYYY
CCV Number

The CCV number is a three or four-digit number located on the back of your credit card.
Name as it appears on the Credit Card
Contacting You
IDTLP may email me about special events or promotions IDTLP may mail me about special events or promotions
IDTLP will never provide your email address to third-party organizations. As an expert in data security, we hold this oath to the highest standard.
Agreement
I agree

By clicking “I Agree”, you are affirmatively consenting to the use of the electronic signature process and to the electronic retention of this Authorization. Your consent to use the electronic signature process applies only to this specific transaction and not to any other future transactions.
If paying monthly, your credit card will be billed $250.00 immediately and $25.00 each month starting on October 8th.

If paying the one-time rate, your credit card will be billed $500.00.

ID Doctor is a product of IDTLP, LLC. A charge from IDTLP will appear on your credit card statement.

Sign up for ID Doctor

Your Information

Billing Address

Payment Information

Contacting You

Agreement