NOTARYBONDING
.COM
Offering A Program For Notaries Since 1940.
Notary Service and Bonding Insurance Agency
550 Hulet Drive, Suite 105, Bloomfield Hills, MI 48302
Toll Free: 1-800-366-8279
Email: [email protected]
Fax: 1-800-637-5992
Website: notarybonding.com
Notary Service and Bonding Insurance Agency Order Form:
Basic
Standard
Deluxe
Low Cost New or Renewal
Notary Bond Only Package “A”
Low Cost New or Renewal
Notary Bond Package “B”
Low Cost New or Renewal
Notary Bond Package “C”
E&O Insurance
Protect Yourself with
Optional Notary E&O
4 Year Insurance
$ 50.00
$ 68.00
$ 70.00
Package Includes:
Package Includes:
Package Includes:
Required $ 15,000 Notary Public
4 Year Bond.
Required $ 15,000 Notary Public
4 Year Bond.
Required $ 15,000 Notary Public
4 Year Bond.
$5,000 E&O 4 Year Insurance Policy:
Official Self-Inking Round
Stamp Seal (5,000 Impressions).
$ 10,000 E&O 4 Year Insurance Policy:
Official Self-Inking Rectangular
Stamp Seal (5,000 Impressions).
$ 20.00
$ 35.00
$ 15,000 E&O 4 Year Insurance Policy:
$ 75.00
$ 25,000 E&O 4 Year Insurance Policy:
$ 225.00
Select Your Notary Bond Package:
Required Information:
Basic
Notary Bond Only Package “A”
Standard
Notary Bond Package “B”
Deluxe
Notary Bond Package “C”
.
$ 50.00
$ 68.00
$ 70.00
State Required - Official Notary Public Recording Journal:
Official Notary Public Journal (Soft Cover - 140 Entries)
Official Notary Public Journal (Pink Soft Cover - 284 Entries)
Official Notary Public Journal (Hard Cover - 400 Entries)
$ 7.00
$ 18.00
$ 25.00
$ 10,000 Notary Errors & Omissions 4 Year Insurance Policy
$ 15,000 Notary Errors & Omissions 4 Year Insurance Policy
$ 25,000 Notary Errors & Omissions 4 Year Insurance Policy
$ 20.00$
$ 35.00$
$ 75.00$
$ 225.00
Pre-Inked Rect. Slim Pocket Style Stamp (25,000 Impressions) #207
Pre-Inked Rectangular Stamp (25,000 Impressions) #206
Xstamper Rectangular Stamp (50,000 Impressions) #206-1S
Pre-Inked Round Stamp (25,000 Impressions) #206-RPI
Xstamper Round Stamp (50,000 Impressions) #206-RS
$ 18.95
$ 21.95
$ 23.95
$ 29.95
$ 20.95
$ 26.95
$ 34.95
Optional California License & Permit Bonds Insurance Coverage:
$ 2,000 Tax Preparer / 1 Year Term
$ 2,000 Tax Preparer / 2 Year Term
$ 2,000 Tax Preparer / 3 Year Term
$ 2,000 Tax Preparer / 4 Year Term
$ 2,000 Tax Preparer / 5 Year Term
$ 5,000 Insurance Adjuster Coverage / 2 Year Term
$ 10,000 Vehicle Verifier Coverage
Visa
MasterCard
American Express
Discover
Credit Card Number: ________________________________________________
Credit Card Expiration Date: __________________________________________
Signature of Cardholder (Required for Credit Card Purchases)
Additional Official Round Stamp Seal:
Self-Inking Round Stamp (5,000 Impressions) #205-RSI
Charge Credit Card:
X ________________________________________________________________
Additional Official Rectangular Stamp Seal:
Self-Inking Rectangular Stamp (5,000 Impressions) #205
Payment Options:
Indicate Check or Money Order Number: _______________________________
Payable to: Notary Service and Bonding Insurance Agency
Optional Notary Errors & Omissions 4 Year Insurance Policy:
$ 5,000 Notary Errors & Omissions 4 Year Insurance Policy
Name as Commissioned: _____________________________________________
Commission Expiration Date: _________________________________________
Commission or Registration Number: __________________________________
Phone: ____________________________________________________________
Email: ____________________________________________________________
County Commissioned In: ____________________________________________
Residential Address: ________________________________________________
Residential City: ____________________________________________________
Residential State: ____________________________________________________
Residential Zip Code: ________________________________________________
Select Shipping Method:
Standard Shipping & Handling:
$ 5.95
FedEx Shipping options are ONLY for notary stamp(s) and/or notary seal(s).
All other products if ordered will be shipped Standard mail. Allow up to 3
business days for your notary stamp(s) and/or notary seal(s) to be personalized
and manufactured prior to shipping. Note: Weekends and holidays are not a
business day. Delivery time is based on distance to the destination.
FedEx Ground Shipping - 1 to 5 business days:
FedEx 3 Day Shipping - 3 business days:
FedEx 2 Day Shipping - 2 business days:
$ 13.95
$ 17.95
$ 18.95
$ 25.00 Order Total:
$ 35.00 Grand Total Amount: $______________________________________________
$ 50.00
$ 64.00 Important Notice – Please Read:
 Please be advised to process your order you MUST also include your
$ 80.00
ORIGINAL “Certificate of Authorization” issued by the Office of the
Secretary of State (no faxes or photocopies accepted). If you want to order
$ 75.00
more than one stamp or seal, the “Certificate of Authorization” must
$ 100.00
authorize as such.
CALIFORNIA 04/2017