Fillable Notary Supplies Order Form (National Notary Association)

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Notary Supplies Order Form (National Notary Association)

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Notary Supplies Order Form
NOTARY INFORMATION
Name (As it appears on your commission) Organization (If applicable)
Address Email Address
City Contact Phone Number
County Fax Number
State Zip NNA Member Number (If joining now, write “New.”)
PAYMENT INFORMATION Charges to your credit card will be noted as ‘NNA Services, LLC’ on your statement.
c
Check/Money Order (Make payable to: National Notary Association) c Visa c Mastercard c American Express c Discover
Credit Card Number Card Expires
Name on Card
Billing Address
City State Zip
SHIP TO c Notary Address c Payment Address c Address Below
Name Organization (If applicable)
Address
City State Zip
YOUR SATISFACTION IS OUR PRIORITY
At the NNA, we stand behind all our products. If you have
any questions about an order or our products, please call our
Customer Care team, Monday to Friday, from 6 a.m. to 5 p.m.,
Pacific Time, at (800) 876-6827. For our complete return and
refund policy, please visit NationalNotary.org/Returns.
ORDER FULFILLMENT
We normally fulfill orders within 1 business day. Stock items will ship right away
and will typically arrive within 7 to 10 business days. Custom items, such as Notary
seals, will be shipped separately as soon as they are manufactured.
SPECIAL SHIPPING REQUESTS
Standard shipping will be delivered by USPS first-class mail or ground parcel
delivery via shipping providers. For special requests, such as expedited shipping
or delivery outside of the 48 contiguous states, please call us at (800) 876-6827.
P.O. BOXES
If your shipping address is a P.O. box, we will ship your items by USPS first-class
mail as shipping providers cannot deliver to P.O. boxes.
GUARANTEE
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Convenient Ordering Options
For faster order processing
(800) 876-6827
Mon.–Fri., 6 a.m.–5 p.m.,
PT. Please have your
credit card ready.
NationalNotary.org
To mail or fax this form
National Notary Association
9350 De Soto Avenue
Chatsworth, CA 91311-4926
(800) 833-1211
INSTRUCTIONS
Please complete this form in full and double-check your information. Missing
information and errors entered may delay the processing of your order.
• If paying by check or money order, please send your payment along with
this order form to the address above.
• If paying by credit card, you can either mail or fax your completed order form.
THANK YOU FOR YOUR ORDER!
© 2022 National Notary Association
MEMBERSHIP/INSURANCE/BOND Use this section if you’re joining the NNA, purchasing E&O insurance, or getting a Notary bond.
NNA Membership Match the length of your membership to your commission! Learn more at NationalNotary.org/Membership.
c 1-Year: $69 Item #1610012 c 2-Years: $119 Item #1610024 c 3-Years: $165 Item #1610036 c 4-Years: $199 Item #1610048
$
Notary Errors & Omissions Insurance
Look up your premium at
NationalNotary.org/Insurance.
State Policy Term (years) Policy Limit ($)
$
Notary Bond
Look up the price of your bond at
NationalNotary.org/Bond.
State Bond Term (years) Bond Amount ($)
$
Ordering a Notary bond? To avoid delays, please visit NationalNotary.org/SealRequirements or call
(800) 876-6827 to find out what documentation you may need to send us in order to process your bond.
Subtotal
Enter this amount below.
$
M64566
SUPPLY ITEMS Look up items at NationalNotary.org/Supplies and fill out this section to order. Prices subject to change.
ITEM NUMBER QUANTITY ITEM DESCRIPTION PRICE EACH TOTAL
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$ $
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$ $
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$ $
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$ $
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$ $
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$ $
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$ $
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$ $
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$ $
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$ $
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$ $
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$ $
| | | | | | | | | | | |
$ $
| | | | | | | | | | | |
$ $
Subtotal of Supply Items
$
Shipping and Handling
For shipping outside of the 48 contiguous states, please call for rates.
$ 15.00
Add State/Local Taxes (For delivery to AL, AZ, CO, CA, FL, GA, HI, IA, IL, IN, KY, LA,
MI, MN, NC, NE, NJ, NM, NV, OK, PA, TX, UT, WA, and WI)
$
Subtotal of Membership/Insurance/Bond
$
TOTAL
$
Ordering a Notary seal stamp? Notary seals are
custom-made to your state’s specifications. To
avoid delays, please visit NationalNotary.org/
SealRequirements or call (800) 876-6827 to find
out what documentation you may need to send us
in order to produce your Notary seal.
PENNSYLVANIA BONDS AND E&O POLICIES UNDERWRITTEN BY MERCHANTS NATIONAL BONDING, INC., AN AFFILIATE OF MERCHANTS BONDING COMPANY MUTUAL.
ALL OTHER BONDS AND E&O POLICIES UNDERWRITTEN BY MERCHANTS BONDING COMPANY MUTUAL, WEST DES MOINES, IOWA. AGENT FOR ALL BONDS AND E&O
POLICIES IS NNA INSURANCE SERVICES, LLC CA LICENSE #0668915. THE COVERAGE PROVIDED BY ANY POLICY ISSUED SHALL BE DETERMINED BY THE TERMS AND
CONDITIONS OF THE POLICY ISSUED, ANY CONTRARY REPRESENTATIONS HEREIN NOTWITHSTANDING. COMMISSION NUMBER AND COMMISSION EFFECTIVE AND
EXPIRATION DATES ARE REQUIRED FOR E&O POLICY ACTIVATION.
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Notary Supplies Order Form (National Notary Association)

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Completed 8 July 2022

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