1. Contact Information: Name: Email: Mailing Address: City:State: Zip: Country: Phone Number: 2. Description of Documents Attached: 1st: 2nd: 3rd: Total Number of Documents: Country for which the process is required: Quote Amount: $ Date by which you need the documents: Overnight Shipping Requested (additional fee):YesNo International Shipping Requested (additional fee):YesNo Expedite Service (additional Fee):YesNo Return Shipping Label Enclosed with Order (required): Translation Fee: $ Special Instructions (if any) 3. Payment information: CashCardCheckMoney Order Card Number: Exp: Security Code: Billing Address: City: State: Zip: Country: 4. Authorization: By signing below I authorize Express Apostille Services to charge my credit card US$ I authorize Express Apostille Services to obtain apostille and document authorizations on my behalf. I agree to indemnify and to hold Express Apostille Services, its employees, agents and affiliates harmless from all liability and expenses, including reasonable attorney’s fees that maybe incurred as a result of my instructions. I understand that Express Apostille Services cannot, and does not, make any guarantees or warrantees regarding my request to Apostille, certify or translate my document(s) and also cannot guarantee any shipping and delivery times. Signature: Date: Submit
