Corporate Registration – Aurum Labs Client Portal

Need help? Contact us

(970) 422-1867
info@aurum-labs.com

Get Started

1 COMPANY INFO

2 LICENSE INFO

3 ADD USERS

Parent Business ID
Business Verification
Company Name*
Business Owners Name*
First Last
Business Owner's Phone Number*
Business Owners Email Address*

This will be your username
DBA (Enter company name if not applicable)
Federal Tax ID #
Main Business Team Member
Billing Address
Billing Address*
Street Address Address Line 2 City State ZIP Code
Upload Company Logo
Logo

Choose file

No file chosen

License Information
License #*
License #1 File
Accepted file types: jpg, pdf, csv, xlsx, png, docx, doc, xls.

Choose file

No file chosen
1st Location Address*
Street Address Suite or Unit City State ZIP Code
Additional Licenses/Facilities? Check all that apply and fill out the additional information below:
- Second License
- Third License
- Fourth License
- Fifth License
- Sixth License
Second License #
License #2 File

Choose file

No file chosen
2nd Location Address
Street Address Suite or Unit City State ZIP Code
Third License #
License #3 File

Choose file

No file chosen
3rd Location Address
Street Address Suite or Unit City State ZIP Code
Fourth License #
License #4 File

Choose file

No file chosen
4th Location Address
Street Address Suite or Unit City State ZIP Code
Fifth License #
License #5 File

Choose file

No file chosen
5th Location Address
Street Address Suite or Unit City State ZIP Code
Sixth License #
License #6 File

Choose file

No file chosen
6th Location Address
Street Address Suite or Unit City State ZIP Code

ADDITIONAL USERS

Name	Select all roles that apply:	Phone	Email (this will be their username)	Actions
				Edit Delete
There are no Users.

Maximum number of users reached.

Additional Information
Is there anything else we should know about your company?
Do you want to be added to our Email Newsletter?
- Yes
Mailchimp Parameter Pass
I have read and agree to the payment terms, terms & conditions and privacy policy*
- Yes
Payment Terms
Terms & Conditions
Privacy Policy
Email
This field is for validation purposes and should be left unchanged.

Already have an Account?

Discount Code
Mail Chimp Addition
Service
Company Name*
Name*
First Last
Select all roles that apply:
- Test Results Contact (access to testing results)
- Compliance Contact (contact for questions about orders)
- Billing Contact (will receive invoices)
Phone*
Email (this will be their username)*
License #*
Address
Street Address Address Line 2 City State ZIP Code
Second License #
Second License Address
Street Address Address Line 2 City State ZIP Code
Third License #
Third License Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Fourth License #
Fourth License Address
Street Address Address Line 2 City State ZIP Code
Fifth License #
Fifth License Address
Street Address Address Line 2 City State ZIP Code
Sixth License #
Sixth License Address
Street Address Suite or Unit City State ZIP Code
Email
This field is for validation purposes and should be left unchanged.