EmailMe Form - Application

Date Time *

MM / DD / YYYY

Applicants Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone *

### - ### - ####

Fax

### - ### - ####

Email *

How long have you been a Registered Process Server? *

Registration Number and County: *

Type none if not registered.

What types of documents have you served? *

Do you have a scanner and printer and fax? *

Printer Only

Printer and Scanner

Scanner, Printer and Fax

None of the above

Can we have our customers mail assignments directly to you on our behalf? *

Yes

No

Can we mail a postcard to you to verify your address? This will fulfill three purposes. One, we can verify your address. Two, we can determine how dependable you are and three, it will HELP us to advertise to customers in your city. The jobs we secure will be sent to you. The postcard will come from Google within two to three weeks. Once you receive the card, you will call us at 831-634-1479 and tell us the verification code. You can also email it to us at hollisterps@gmail.com *

Yes

No

What Cities do you serve in on a regular basis? put your price you want to be paid per defendant next to the city. *

Example:
Sacramento $20
Stockton $20

How many papers can you realistically serve per day? *

Write anything else you want to:

Questions, Statements, etc.