E-Delivery Request Form

Name Name First Last
Firm or Company Name
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Fax Fax - ### - ### ####
Email
E-Delivery Rates:

Standard (Next Day) - $20.00 per citation up to 25 pages*
Rush (Within 4 Hours) - $28.00 per citation up to 25 pages*

* 20¢ per page thereafter
How quickly would you like these documents delivered?

How quickly would you like these documents delivered? Standard Delivery (next business day) Rush Delivery (within 4 hours)
Which delivery method would you prefer?

Which delivery method would you prefer? Email Fax USPS First Class Mail Will Call / Onsite Pickup
How would you like pay for this delivery request?

How would you like pay for this delivery request? Credit Card (we will call you for card information) Monthly Invoice (registered borrowers)

Charges for all non-borrowers require prepayment.
Number of items being requested:

Up to 5 documents per eDelivery request.
Document Request Information:
DOCUMENT REQUEST #1

Citation information or document description:
Maximum of 400 characters allowed. Currently Entered: 0 characters.
Additional information or instructions:
Maximum of 200 characters allowed. Currently Entered: 0 characters.
DOCUMENT REQUEST #2

Citation information or document description:
Maximum of 400 characters allowed. Currently Entered: 0 characters.
(2) Additional information or instructions:
Maximum of 200 characters allowed. Currently Entered: 0 characters.
DOCUMENT REQUEST #3

Citation information or document description:
Maximum of 400 characters allowed. Currently Entered: 0 characters.
(3) Additional information or instructions:
Maximum of 200 characters allowed. Currently Entered: 0 characters.
DOCUMENT REQUEST #4

Citation information or document description:
Maximum of 400 characters allowed. Currently Entered: 0 characters.
(4) Additional information or instructions:
Maximum of 200 characters allowed. Currently Entered: 0 characters.
DOCUMENT REQUEST #5

Citation information or document description:
Maximum of 400 characters allowed. Currently Entered: 0 characters.
(5) Additional information or instructions:
Maximum of 200 characters allowed. Currently Entered: 0 characters.
Internal Reference Number (optional)
Maximum of 100 characters allowed. Currently Entered: 0 characters.
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E-Delivery Request Form

E-Delivery Request Form

E-Delivery Rates:

Document Request Information:

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