~We are responsible for the effort, not the outcome~

J & L Process Service
PO Box 942
Glendale, AZ 85311
ph: /Text 602-344-9655
fax: 623-738-1481
Service@JLProcess.com

Client Information Form

*Your Name:

Company:

*Your Address:

*Your Email:

*Your Phone Number:

*Who are we serving:

Enter the name of person you want served

Age:

Ethnicity:

Gender:

Weight:

Height:

Hair Color:

Eye Color:

*Service Address:

The address where you want the other party served.

Vehicle: Year, Make , Model, and Color

Name of Employer:

Employer Address:

Work Hours & Days Off:

Who lives in home? 13 yrs & older:

List of names & age who lives w/ person we're serving

*Service Type:

*Do you need to have someone served at a specific time & date?

Yes No

Note: If yes, there is an additional fee for this service.

Date & Time of Service:

Select date & time ONLY if you selected yes to previous question.

Service Instructions:

Feel free to add any additional information

Submit Your Information:

When you press submit, the fields will go blank.
A message at the top of screen will confirm your submission.

J & L Process Service
PO Box 942
Glendale, AZ 85311
ph: /Text 602-344-9655
fax: 623-738-1481
Service@JLProcess.com