Florida Private Investigative Services - Online Order

TO PROCESS YOUR ORDER ONLINE:
Type in all the appropriate & required information & then Click the "Submit" button once.

To send your order by Fax or Mail, please Click Here.

Please select the Type of Report needed: (Required)
Basic Report: $25.00 + $4.95 s/h Basic Report Plus: $50.00 + $4.95 s/h National Comprehensive Report: $75.00 + $4.95 s/h National Comprehensive Report Plus: $100.00 + $4.95 s/h
Related Information: East Coast Investigations & Security realizes that you do not have all the information below. However, the more information you give, the easier the search will be and the more information you will receive.
Person's Name
Last Known Address
City, State, Zip
Social Security No.
Driver License No.
Date of Birth	Month \| Day \| Year
Approximate Age	Years
Race
Sex	Male Female Not Known
Any Other Information
Your Information:
Full Name (Required)
Address (Required)
City (Required)
State & Zip (Required)
Work Phone (Required)
Home Phone (Required)
Email ID (Required)
Credit Card Information:
Card Type (Required)	Master Card Visa
Card Number (Required)
Card Expiry Date (Required)	(MM) \| (YY)
Name on Card (Required)
Agreement: (Required) You must agree to the following & confirm your acceptance by "Ticking" the Check Box below.
By submitting your order, you certify that you have read, understood and agree to the provisions set forth below and to East Coast Investigation's terms of use. Please be advised that the Fair Credit Reporting Act (15 U.S.C.sec 1681) prohibits use of information obtained from our service to determine a consumer's eligibility for credit or insurance for personal, family or household purposes, employment or a government license or benefit. The use and redissemination of information obtained from this file is limited to use in the ordinary course and scope of the user's business or profession. By submitting your order, you represent and warrant that such use is appropriate. We strongly support the existence and enforcement of anti-stalking laws. I Agree

Ordering by Fax or Mail:

To send your order by Fax or Mail, please Click Here to download the Order Form & then

By Check or Money Order:
print the page out, sign, and mail.

By Fax (Credit Card Orders ONLY):
print this page out, sign, and fax.

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Note:

Please enclose your check for the order amount. All charges include shipping and handling and the Florida State sales tax. SORRY NO C.O.D. ORDERS. You may pay by personal check or money order by mailing (Credit Card orders are to be Faxed) this application to:

Nicholas C. Waggoner, Inc.
501 East S.R. 434
Longwood, Florida 32750
FAX: (407)339-8410