Request for Basic Notary

Note 1: We use MapQuest.com, our home office address is 1038-5 Dunn Ave PMB 83, Jacksonville, Florida 32218

Use this Request for Basic Notary service only.

Otherwise please

Use Request for Wedding Officiant service form
or
Use Request for Florida Notary Class form

Provide basic information and submit this form.
A professional from JaxNotary.com will contact you soon.

Your information will not be shared or sold
and this is NOT a contract.

If you need service within the next 12 hours,
call now: (904) 298-5939.

Mark all that apply

Basic work: $10	Basic Notary work includes everything EXCEPT weddings.
Basic work: FREE (See fees page for details)	Basic Notary work and we were your wedding officiant OR you are a member of JaxPlus.net
Extra Mileage fee $10	Add $10 for service 26 to 49 Miles from Home office. (see note#1)
Extra Mileage Fee $25	Add $25 for service 50 to 74 Miles from Home office. (see note#1)

$10 After hours fee	Add $10 for ANY service between 9pm and 9am
Normal Mileage fee: $10 (applies to all Notary services)	Mileage fee for all services $10.
All signings or other NON-Basic notary work: e-mail or call for quote.	Other NON Basic notary work.
Number of Notary stamp-seals needed: *	Note: add $5 for the second, $5 for the third, $5 for the fourth and $5 for the fifth... for six or more please e-mail or call for a quote.

First Name:
Last Name:
Address of where service is needed: Street 1:
Address Street 2:
City:
Zip Code:	(5 digits)
Month:
Date:
Year:
Time: (include AM or PM):
Daytime Phone:
Evening Phone:
Email:
Comments:	Provide other details as needed.

Note 1: We use MapQuest.com, our home office address is 1038-5 Dunn Ave PMB 83, Jacksonville, Florida 32218