APS - United States Credit Card Order Form
Effective 1/1/12; Pre-Payment is Required for New Orders, we offer many payment options to meet your needs.
If you have previously set up a Charge Credit Card on file account or you have a Special Account Setting with us, simply SKIP this step.
Payment Options: Secure Online Check, Secure Online Credit Card, Faxed Checks (electronically processed in our office) and PayPal Payments
Firm or Company Name
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Completed by
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Attorney Name (for case)
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Type NA, if this does not apply
Mailing Address
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Phone Number
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Email Address
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Name on Credit Card
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Credit Card Type
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Visa Card
Master Card
Credit Card Number
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Expiration Date
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Security Code (on back)
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What is this payment for?
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Select Option
Process Service (Original Address) Documents are Attached
Process Service (Additional Address) Documents are Attached
Process Service (Additional Address) Action already has service documents in house.
Skip Trace Service (with social security number) $50.00
Skip Trace Service (without social security number) $100.00
Specific Skip Report (per search) $10.00
Other Services
Name of Company or Person being Served/Subject Name:
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Service Fee or Invoice Total
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This is the amount for the SERVICES you have selected plus any Court Filing Fees (if applicable) in this field.
Fax/Email/Upload Fee (per page)
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Add the PRINT FEE .10 cents for each page you are attaching to this order
Credit Card Processing Fee (5%)
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Add the SERVICE fee and FAX fee together for the Sub Total Amount and then add the 5% Credit Card Processing Fee to the Sub Total to get the Total Amount of this Order.
Total Fee (to be charged)
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I understand and agree that if I miscalculated the total amount for this order or if I didn’t select the correct service option for my "deadline" date; Action Process Service will make the correct adjustments and charge this credit card accordingly without notice.
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Select Option
Yes
I Pre-Authorize Action Process Service to charge all future Orders to this Credit Card, with no advance notice.
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Select Option
Yes, charge card on file for all future orders
No, I will pay for each order placed
Repeat Clients: In an effort to avoid entering your credit card for each order, you can complete a "one time" credit card order form and check the pre-authorization to charge all future orders to the credit card on file.
Charge all future Orders (select one)
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Select Option
For This Attorney Only (no other attorneys)
For The Entire Firm (all other attorneys)
Future Orders Not Pre-Authorized
Signature (type name)
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Email
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Image Verification
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