Home Study Enrollment Form                      

Please print and fax completed enrollment form along with payment information

to private and secure fax 909-623-0626

 

Upon receiving your application - the workbook, Declaration/Certification form and instructions will be

mailed to you.  Notary Journal & Thumb Kit available for $20.00. Schedule your state exam on www.cps.ca.gov/TakeATest/Notary

Please note: The Home Study courses are recommended for renewal notaries.  New notaries should take the seminar/workshop

 to fully understand all their duties and responsibilities.

Contact/Credit Card Payment

 

 

 

Name

___________________________________________________________

Address to mail confirmation include city/state/zip

___________________________________________________________

Phone Number

_________________________________________________

Credit Card Number

___________________________________________________________

Credit Card Type

______ Visa      ______ Mastercard

Expiration Date  ___________________

CVC # (3 Digit on back)   _______________

Authorized Signature *

___________________________________________________________

*Upon signature you are authorizing Notary Masters to charge the above grand total amount to your credit card.  This is non-refundable.

 

                                                                   

                                                                                                 

                                                                      

 

 

 

 

Check or Money Order Payment

Please make checks payable to: GEORGE SZALONEK

Mail To:   NOTARY MASTERS  216 South Citrus Street #345 WEST COVINA, CA 91791

Totals

6-Hour Home Study Course 

$  65.00

_____    YES     

No ____ 

**Notary Masters Three Hour Refresher

(**Renewing Notaries ONLY)

$  40.00

_____    YES

No ____ 

Notary Journal & Thumbprint Kit    

$20.00

_____    YES

No ____ 

Protective Pouch:

Red, Blue or Black (Circle Choice)

$ 14.00

_____    YES

No ____ 

Loose Certificates (Acknowledgment/Jurat) 

$   6.00

_____    YES

No ____ 

Grand Total to be charged to credit card        

$ ________________