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Phone*

Case Name*

Who you represent*

Your Client/Matter Number

(e.g. Smith123)

Amount*

Payee Information*

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Card Number Expiration Date Security Code Cardholder Name

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

All information collected is secured and held confidential. We collect credit card information for secure identity verification. Your card will be charged $75 for your user license, which is refundable within 15 days of signing up. See our Terms and Conditions here.

Phone

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