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Secured Party Creditor ID order form
    
Secured Party Creditor (SPC) Identification Card Order Form

Unless we are unusually busy, you can expect to receive your SPC-ID Card within 2 weeks of our receiving your order.  Please include a passport-type photo. Here is the information we need:

Name: ______________________________________________________

Address: ____________________________________________________

Phone: _________________________E-mail:_______________________

Date of UCC 1 Filing: _____________________Filing #:______________

State Filed In: ________________Expiration Date (if any): ___________________

Name of Debtor: ______________________________________________

Date of Birth: __________________________

Height: ____________ Weight: ____________

Color of Eyes: __________ Hair:___________            

                                   Please sign your name in the empty space above for scanning.


Note:  If item does not reach you and Priority Mail with confirmation is not checked, the replacement cost is $50 if loss is claimed within 30 days. (It's very rare that a package goes astray.)

   _____ Please send my item via Priority Mail with confirmation. I've added on an extra $5!

Credit Card, PayPal payments: Send us your order form by copying & pasting it into an e-mail and filling in the requested information. E-mail your photo in a .jpg or .gif format and information to justyce4all@ymail.com. Paypal or credit card, go to Paypal/Credit card page.

OR


Mail completed form,  passport-type photo and $85 in money order or personal check (will cause a 2 week delay) payable to:

Penny Pincher Press
1143 Northern Boulevard, #154
Clarks Summit  18411  Pennsylvania

If ID should be mailed to a name and/or location different from above, please put it below. Enter contact information in case we need to reach you:

_____________________________________________

_____________________________________________

e-mail:__________________Phone #: _______________ Skype ID: ____________________________




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