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

PLEASE ENTER YOUR TOTALPURCHASE

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 SEND DATA button below, I agree to pay the merchant.