Apostille - number of document(s)______________________x $89.00 = __________________________ Certificate of Authentication - number of document(s)_________________x $99.00 =________________ Six or more documents - Special Rate: $____________________________________________________ International Shipping: $49.00 ___________________________________________________________ Additional services provided per your request: _______________ x $____________=_________________ (Please discuss service fee with staff) Total $$ enclosed:______________________________________________________________________ Type of payment enclosed:___________________________________________(Cashiers check, Certified Check, Personal Check, Money Order) Please make payable to: DMS Apostille Service Please answer below if you have: Paid online with Google Checkout?(Yes/No) _____________________________ Did you "Phone In or e-mail us" your document order request? (Date & time) _______________________ Did you receive your "Google Checkout Invoice" by e-mail? (Yes/No) _______________________________ Please send me a "Google Checkout Invoice" by e-mail so I can purchase online: __________________________ |