A-1 Elite Service of Process

1419 W. Waters Ave., Suite 105

Tampa, FL  33604

Toll-free:  1-866-331-3356 or 813-932-7350

Fax:  813-931-7339

Your name:____________________________________________________

Company name:________________________________________________

Address:______________________________________________________

City:________________         State:_________   Zip Code:_______________

Telephone:___________          Ext:__________   Fax:____________________

Special Instructions:_______________________________________________________________________________________________________

Rush services needed?    Yes    No

Please mail or fax this form along with documents to be served (original and two copies).  If you are faxing, please include credit card information or fax a copy of a check made payable to A-1 Elite Service of Process, Inc.  You will then need to mail the check to our office.  Pre-payment is required on all submitted work unless prior arrangements have been made with our office.

·        Visa  

·        MasterCard

·        AMEX

·        Discover

Credit Card Number:_______________________         Exp. Date:_________

Name on card:_______________________________________________
Amount to be charged:________________________________________

Signature of Cardholder:________________________________________

Print and submit this form along with your documents.