INSTANT PROCESS SERVICE ORDER FORM

Instruction for service: Fill out form completely and fax - (626) 284-6180 - email - info@instantprocessservice.com - or otherwise deliver along with document for service to Instant Process Service, attention: Process Dept. After that has been done, please call - (626) 284-2418 - to confirm receipt of order and payment.

Service Information:

Party / Entity to be served:

Business Address:		Residence Address:

Document to be served:

Level of Service:

Today

Rush (48 hrs)

Regular

Special Instructions / Requirements:

Your Information:

Name:

Address:

Telephone:

Cell:

Method of Payment:

Credit Card

Check

Cash

Money Order

Name as appears on card:

Address as appears on bill:

Card Type: MC Visa Amex Discover

Card number:

CVC:

Expiration date:

Authorized by:

Date:

1200 Williams Street. • Monterey Park, CA 91754 • Tel (626) 284-2418 • Fax (626) 284-6180

Use of this form creates a contract. Instant Process Service shall not be liable for more than $100.00 per assignment.