PII Check Payment Form

To mail your check, just write your check to PII and mail to:
PII, 3516 Delilah Drive, Cape Coral, Fl. 33993
All checks must be drawn on a U.S., Puerto Rican or U.S. Virgin Islands financial institution.
International customers should order via airmail but please send American Express
Traveler Checks, as bank drafts will take over a month to clear!
OR
We can produce a check draft if you fax or email your check data, per the following:

To fax your check, just write your check to PII, tape
it to a piece of paper and Fax to PII at 941-283-8631.
(Then click BACK to exit this form:)
OR
To Email your check, submit your check draft information below, we will draft
your bank account using your check number and data provided!

Required Check Information

TOTAL COST

Bank Name:
Bank Phone:
Bank Address:
Bank City:
Bank State:
Bank Zip:
Name on Account:
Account Number:
Transit Number:
9 Digit Routing Number:
Check Number:

Comments/Questions/Special Information or signature if you fax this form:

I authorize PII to charge my checking account for the amount specified for the goods or services I ordered. I further affirm that the name and personal information provided on this form are true and correct.

By faxing or pressing the ORDER button below, I agree to pay the merchant.

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