American-Process-Servers.com - An Internet Based Inter-Jurisdictional Process Serving Clearing Company

Service Request

To request a pickup or to send us a request for service, simply enter the information requested in the space provided below and click the "Submit" button. Rates are subject to change without advanced notice. If paying by the "Pay with Paypal" link on this site, please add $10.00 additional for processing. Call before "Pre-Payment" with any questions and to confirm rate.

*Law Firm:		*Contact:

*Address:			*Phone:

*City:	*State:	*Zip:	*Fax: (IMPORTANT)

Mailing Address: (if different from the Street Address)			*# Of Pages:

City:	State:	Zip:

Contact E-mail: (If you do not provide your e-mail, your username and password will be sent by fax.)

Reference Number:

*Target Name: (exactly as it should appear on proof of service)

Residence Address of Target: (if known)		Business Address of Target: (if known)

City:		City:

State: Zip:		State: Zip:

Residence Phone: (Leave blank if unknown)		Business Phone: (Leave blank if unknown)

Special Instructions:
Please be sure that all information is accurate before submitting.

Home Office: 1662 Rt. 300, Suite 153, Rt. 300 Professional Bldg., Newburgh, New York 12550
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