Center City Notary & Apostille Co., Ltd.
100 South Broad Street, Suite 1415
Philadelphia, PA 19110-1005
215-870-3103 - Toll Free: 800-604-3248
1. Documents requiring Apostille and/or Authentication
2. Payment: Check, money order or credit card information (see below)
3. This form
4. Prepaid return envelope or federal express account number: _
Total Number of Documents
Any additional details / directions
Credit Card Information
Name Appearing on Card
This signature will authorize Center City Notary & Apostille Co., Ltd. (“CCNA”) to obtain Apostilles or Authentications on my behalf. I agree to indemnify and hold CCNA and/or its agents and employees harmless from any liability, including attorney’s fees, that may be incurred herein. CCNA cannot guaranty shipping and/or delivery times. CCNA can further not guaranty anything occurring as a result of force majeure. You have been instructed not to purchase travel tickets or anything else until the Apostilles or Authentications have been received.