Resillent Process Server - Order Form

Please review the current page (1 of 1) and fill in valid responses for each field:

Complete the service request information below and a member
of our team will contact you shortly.
IMPORTANT: If you need to have more than one person served, please submit a new service request for each person to be served. Service Fees are Per Person and Per Address.

Are you an Attorney?*

Yes

I work for an Attorney

I am an Affiliate/Process Serving Company

Company Name / Firm Name *

If you are an individual, Please Enter Your Full Name Here as well as below.

Company/Firm Email *

Contact First Name *

Contact Last Name *

Email Address *

Required

Phone Number *

Required

Mailing Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Payment Information and Authorization

5% Discount for Attorney Clients

Convenience Fee*

Total Cost*

Credit Card*

Acknowledgment of Service Agreement*

I have read and agree to these terms and conditions described here in the Service Agreement: We receive this request for Service with the true understanding that it is for legal and lawful purposes and will not be held responsible for any and all damages, claims and/or legal actions that may result in carrying out this request. Furthermore, we do not guarantee service will be successful. Once a request has been made, service is deemed in effect and therefore billable. There are NO REFUNDS, and we reserve the right to refuse service to anyone for any lawful reason. By signing this online Request for Service, you acknowledge that you understand and agree to this service agreement.

Payment Authorization*

I authorize Diamondback Process Servers to charge the credit card indicated in this form for service of process plus a 4% convenience fee on the total due as stated above. This payment authorization is for the amount indicated above only. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company. I understand that the payment is non-refundable.

Signature Confirmation*

Yes, I confirm the below mark is my true and correct signature

Electronic Signature Confirmation

Signature*

Use your mouse or finger to draw your signature above

Service of Process

Payment Information and Authorization