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NY Notary Supplies Order Form

Use this form to order notary supplies like stamps, journals, log books and notary public seals and embosser for N.Y.S. Notaries Public. You can also use this form top request FREE membership in the N.Y.S. Notary Public Association. Please visit http://www.HowToBecomeANotaryInNY.com for more info or call (347) 427-9091. Email questions to [email protected]

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Mike Brown
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1K views1 page

NY Notary Supplies Order Form

Use this form to order notary supplies like stamps, journals, log books and notary public seals and embosser for N.Y.S. Notaries Public. You can also use this form top request FREE membership in the N.Y.S. Notary Public Association. Please visit http://www.HowToBecomeANotaryInNY.com for more info or call (347) 427-9091. Email questions to [email protected]

Uploaded by

Mike Brown
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Notary Public Supply and FREE Membership Order Form

Please note: One student per form


DESCRIPTION UNIT PRICE QUANTITY AMOUNT

Notary Ideal Self Inking Desk Stamp $27.00 (Copy of license or stamp required) $ ___________.______

Notary Pocket Slim Stamp $39.70 (Copy of license or stamp required) $ ___________.______

Notary Logbook with Bound/Numbered Pages $27.00 $ ___________.______

Notary Seal/Embosser $47.70 (Copy of license or stamp required) $ ___________.______

Jurat/Affidavit Notary Public Certificate Stamp $27.00 $ ___________.______

NYS Notary Association Membership FREE MEMBERSHIP BY EMAIL Circle YES/NO $ 0.00

Framed Notary Public Diploma ( ) Black ( ) Walnut $37.70 (Copy of license required) $ ___________.______

Shipping and Handling UPS $12.00 For all Orders $ 12. 00

TOTAL AMOUNT $

For express shipping you may FAX this order form to (866) 413-4565 with the credit card info below. You may email [email protected]/ Mail your order
and pay by credit card or checks/money orders with this form. Mail payable to: Shaimee Solutions, Inc., P.O. Box 586, Wappingers Falls, NY 12590

Last Name: ______________________________________________ First Name: _________________________________________

Shipping Address : Please check appropriate delivery address ( ) Residential ( ) Business Credit Card Billing Address if different from delivery Address:
(Business names required)
_____________________________________________________________________ _______________________________________________

_____________________________________________________________________ _______________________________________________

_____________________________________________________________________ _______________________________________________

Phone Number : __________________________________________ Email : _________________________________________________________ (please print clearly in CAPS!)

Credit card holder name (If paying with card only)___________________________________________________Type of credit card (Visa/MC/AMEX/Discover) __________________________

Card No. _____________________________________Expiration Date: ____________ CVV Code: _____________ Cardholders Signature : ____________________ Date: ___________

NOTE: ALL ORDERS FOR STAMPS AND SEALS REQUIRE A COPY OF LICENSE OR OLD STAMP. (For descriptions see www.NotaryPublicNewYork.com)

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