DIRECT ORDER FORM Print order form, complete it, then either;

  1. Fax your request to 1-800-297-0012. Mail your request with a check or money order payable in US dollars to: PDJ Services, P.O. Box 788, Granbury, TX 76048

  2. Mail your request with a check or money order payable in US dollars to:
    PDJ Services, 871 Thornton Parkway, Suite 140 Thornton, CO 80229

Client Information: Subject Information
(enter required info):
Company: Name:
Contact Name: Your Ref #:
Phone Number: Phone #:
Fax Number: Address:
E-Mail Address: City/State/Zip:
Street Address: Social Security #:
City/State/Zip: Carrier Name:
Type of Business: Search Requested:
Comments: Comments:
Indicate how you want us to deliver your information: ___Fax ___Mail ___E-Mail Indicate method of payment: (check one) ___Check/Money Order ___Credit

 

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