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BACKGROUND CHECK ORDER FORM

Phone: (303) 761-5858        Fax Order to: (303) 761-9091

Mail Orders to:
Screening Department
Danley Investigations, Inc.
13111 East Briarwood Ave., Suite 200
Englewood, Colorado 80112
DATE:  
1
Ordered by:
Name: 
Company (if applicable): 
Address: 
City:  State:  Zip: 
Phone:
Fax:
E-mail:

2
Method of Payment:
Visa Discover
MasterCard American Express
Diner's Check
Credit Card #:
Exp. Date:
Name On Card:
Signature:

X___________________________________________

3
Order:
Qty: Description: Price: Subtotal:
Basic Background Check $49.95
Enhanced Background Check $79.95
Premium Background Check $119.95
       
All services rendered by Danley Investigations, Inc.
Prices Payable in $US

All orders are shipped via U.S. Mail.
Shipping cost is included in the price of the kit.
No COD deliveries.
Grand Total:
Thank You!
Danley Investigations, Inc.