S&R Services
Toll free (877) 281-3563 Toll free fax (877) 290-6425 Office hours: Monday-Friday 8:00am - 5:00pm

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Information about you:
Firm name:
Contact name:
Attorney name:
Bar Number:
Address:
City:
   State:     Zip Code: 
Phone Number:
   Fax Number: 
Email Address:
Desired password for online status (optional): 
Firm reference number: 
Documents to Serve:
Name of person/entity we are serving 
Address:
City:
   State:     Zip Code: 
Phone Number: 
Special Instructions / Description e.g. Race, Sex, Hair, Eyes, Height, Weight & Vehicle

Service level requested:
 Routine service $55.00         Last day to serve:
 Rush service $75.00        
 Enter Special Rate Code         
More then 1 Party?
 A separate sheet will be attached for additional parties

Payment information:
Bill my credit card:     Expiration date: 
3 digit security code from back of card ( 4 on front for Amex): 
 Please call me to obtain the numbers over the phone
 I will fax or email a copy of the check and mail the original

What next?
1) How did you hear about us?(optional): 
2) Attach your documents: 
     Attachment 1:
     Attachment 2:
     Attachment 3:
     Attachment 4:
     Attachment 5:
3) Submit or Print your order form:   or