We collect your EIN for W9 Purposes, please WITHOUT spaces or dashes (ie. XXXXXXXXX)

Billing Information

NOTE: The National Pretrial™ Agency Registration fee is $99/Month. This amount can be paid via credit card or charged to a pre-existing PSC BUF account.
Clear Signature
The signatory named above agrees to be charged the above specified National Pretrial™ Agency Registration Fee. This fee may be charged against an Agency's pre-existing BUF (if applicable) account or paid for with a submitted credit card. National Pretrial™ will charge or deduct from remittance of earnings for any equipment/service fees per the then-current National Pretrial™ Agency contract rates and terms.