WILL CALL/MAIL ORDER FORM FOR COPIES NO PERSONAL CHECKS ACCEPTED $1.00 PER PAGE FOR ALL COPIES TO BE COMPLETED BY THE CUSTOMER (PLEASE PRINT): CAUSE NUMBER: ________________________________ STYLE: __________________________________________ VS. __________________________________________________ SPECIFY: CERTIFIED or UNCERTIFIED PICK UP or MAIL (PLEASE PROVIDE SELF-ADDRESSED, STAMPED ENVELOPE) (POSTAGE CAN BE CHARGED TO YOUR CREDIT CARD) NEED COPY OF (PLEASE CHECK): DECREE/JUDGMENT NUMBER OF COPIES ____________________ ORDER(S)/ DATE SIGNED: ___________________________ NUMBER OF COPIES ____________________ OTHER, PLEASE SPECIFY: ___________________________ ________________________________________________________ NUMBER OF COPIES ____________________ ________________________________________________________ NUMBER OF COPIES ____________________ CUSTOMER'S NAME (Please Print): ___________________________________________________________________________ ATTORNEY'S BAR NO. _______________________ LAW FIRM'S I.D. NO: ________________________________________ ADDRESS: _________________________________________________________________________________________________ PHONE NUMBER: (______) ________________________ CELLULAR PHONE: (_______) _________________________ Indicate Form of Payment: CREDIT CARD: _____________________________________ Credit Card Expiration: _______________ Name Printed on the Credit Card: __________________________________________________________________ Authorized Signature: ____________________________________________________________________________ Credit Card Billing Address: _______________________________________________________________________ MONEY ORDER/CASHIER’S CHECK Type: _____________ Number: ____________________________ NOTICE: 1. Advance payment of copies is required prior to copies being made. 2. Orders over hundred pages might require more than 24 hours to complete. 3. There is a $5.00 search fee when the cause number is not provided. When requesting certified copies by mail, return this completed request form with payment to: CHRIS DANIEL, HARRIS COUNTY DISTRICT CLERK PO BOX 4651 201 Caroline, Room 210 HOUSTON, TEXAS 77210-4651 ATTENTION: CORRESPONDENCE FOR DISTRICT CLERK'S USE ONLY NUMBER OF COPIES: ______________________________________________________ NUMBER OF PAGES: _____________________________________ VOLUME and PAGE: _______________________________________________________ Or ROLL AND FRAME : ___________________________________ ORDER TAKEN BY: _______________________________________________________ TRANSACTION NUMBER: _________________________________ NUMBER OF PAGES VERIFIED BY: __________________________________________ RECEIPT NUMBER: ______________________________________ SPECIAL INSTRUCTIONS: ____________________________________________________________________________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com