Apostille Request Form- Cover Letter

Date:

Apostille Request Form/Cover Letter

Name of Apostille requester:

__________________________________________

Contact Phone Number:

_______________________________

Contact Email Address:

__________________________________________

Return Address:

__________________________________________

Country where the Apostilled documents are to be used: Israel.

Total number of documents to be given an Apostille stamp: ______

Fee per document: ________

See enclosed my payment for the amount of ______.

Credit Card information (if relevant):

Card Type: Visa / MasterCard / American Express / Diners / Discover

Card Holder:

______________________________________

Card Number: _______________________________________

Expiry Date:

___/___

CCV:

_______

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Parent category: Legal