Subscribe to Exclusive Services

One-year subscription fee: Only $60.00 U.S. Dollars

This form is for payment by Check or Money Order, see below.
Most requests are processed upon receipt of your Check or Money Order and are usually completed within one to four hours. A confirmation e-mail will be sent to you at the address you list below.

NOTE: This form MUST be completed before your username/password can be processed.

Please enter your name. (required field)
Your Name:

Please enter your email address. (required field)
Your e-mail address:

Comments:

Payment Instructions

To pay by Check or Money Order

Payable to: Doyle Peeks
Mail to: Doyle Peeks
401 Chamber Street NW
Port Charlotte, FL 33948

DO NOT make payable to Crane Accidents

As soon as your Check or Money Order for the $60.00 US Dollars is received, your personal login information for access to Exclusive Services will be sent to you via e-mail. BE SURE to include your e-mail address with your payment. We need something to associate with the above information.

It is best to complete the above form, print it, and send the printed copy with your payment.