Premier Reporting, LLC logo

 

Pay with credit card

We value the security of your information. Due to security issues that some companies have been experiencing with credit cards, we have made the decision not to accept credit card information online at this time. Premier Reporting, LLC accepts payment by Visa, Mastercard, and American Express credit cards via U.S. Mail or fax.  For your convenience, this form can be filled out, printed, and sent to us.

Please fill out the following information. The information with an * is required to process your payment. After completing the form, fax it to: Premier Reporting, LLC at 717-243-0413 or send it via U.S. Postal Service to: Premier Reporting, LLC, P.O. Box 186, Carlisle, PA 17013. A receipt will be sent as soon as we receive this form and process payment.

* Your Name:
* E-mail:
Law Firm Name:
* Attorney Name:
* Street Address:
* City:
* State:
* Zip:
* Phone:
Fax:
* Date of Deposition:
* Premier Reporting invoice number:
Case caption:
vs.
* Credit card type:



Visa
Mastercard
American Express
* Credit Card Number
* Credit Card Expiration Date
* Name on Credit Card
* Credit card billing address if different from above address:

Method to send receipt:

Receipt will be sent by U. S. Postal Service to address above
Other requests & comments
* Amount to be charged:

_______________________

* Today's date:

_______________________

* Authorized Signature:

_______________________

Visa, Mastercard, and American Express accepted * Required information

 

For your convenience Premier Reporting, LLC accepts credit card payments by Visa, Mastercard, and American Express. 


 

 

Quick Links

 

Locations


Mailing Address
 

P.O. Box 186         Carlisle, PA 17013


Downtown Carlisle Office and Conference Room
 

8 S. Hanover Street, Suite 201                Carlisle, PA 17013


Downtown Harrisburg Office and Conference Room
 

112 Market Street,        Suite 406                Harrisburg, PA 17101


Shipping Address and Administrative Office
 

22 W. Mulberry Hill Rd. Carlisle, PA 17013 Phone: 717-243-9770 Fax: 717-243-0413