Fax/Mail Order Form

Fax or Mail Order Form

Print out this form to order a missing persons investigation by Fax or Mail.

Email: ________________________________ Date: _________________

Your name: ___________________________________________________

Address: _____________________________________________________

Phone Number:____________________ Work :_______________________

Payment: ___Visa ___MasterCard ___ Discover ___Am. Express___Check/Money Order

Credit card number : _____________________________________________

Expiration Date: Ex: 9/2011 : ____________ The fee for this search is $99.00 dollars.

Please fill in all pertinent information regarding the person you are looking for.

Name:__________________________________________ d.o.b. _________________

Last Known Address_______________________________ S.S.# _________________

City __________________________________ State ___________ Zip _____________

Maiden Name:________________ Parents: ____________________ State Born ________

Drivers Lic#/State____________________ Race ___ Sex ___ Height _____ Weight _____

Other Info:_______________________________________________________________

_______________________________________________________________________

Please make sure all information is complete.

Mail or Fax completed form along with all pertinent information regarding your missing persons case to the address below. An Agent will contact you upon receipt of your order.

U.S. TRACE

51194 Romeo Plank Rd, # 352, Macomb, MI 48042

1-888-45-TRACE or Fax Number: 586-228-4735

Make all checks or Money orders payable to U.S.TRACE.