ATKINSON BROS. AGENCY
 TEXAS NOTARY TRAINING REGISTRATION FORM
 If you have questions, please call (713) 664-4021 or (800) 929-6093.

Use this form ONLY to REGISTER FOR A TEXAS NOTARY TRAINING SEMINAR. If you want to apply for a new or renewing Texas Notary License, use the following links:

Home | Apply for a New Texas Notary License | Renew Your Texas Notary License 

This opportunity benefits you whether you are becoming a notary in the State of Texas for the first time or are renewing your license. Registering for a seminar online allows you to take advantage of an advance registration discount of $20.00 off the $149.00 seminar fee. At the seminar, you will have the opportunity to order your notary bond, supplies, and liability coverage.

After completing your training registration form, you can initiate the licensing application or renewal process online or you can complete a questionnaire on the day of the training. Use the links provided on your training confirmation page to go directly to the questionnaire forms online or to continue browsing the website.

Atkinson Bros. Agency experts have presented notary training seminars in Texas and California. Our success rates are noted as "extremely high" by the CPS, the official State of California Notary Testing Agency.

Instructions: All fields with an asterisk MUST be completed. Use your mouse or the tab key on your keyboard to move throughout the form. Use the return key ONLY to submit the form. NOTE: You must be at least 18 years of age to become a notary in the State of Texas. 

Use the PRINT button in your browser to print and share copies of this form. For color printers, select black and white print mode if you do not wish to print the background color. You may also fax or mail the printable training registration form . The printable form requires that use Adobe Acrobat® Reader™. Download and install a free copy from the Adobe website. Click to download Adobe Acrobate Reader

Questions? Call to speak with one of our trained staff in person during business hours (8:30 am to 5:30 pm CST). No automated menus, no mechanical operators!

*Term of address        Mr.  Mrs.  Ms.   Miss  Dr.
 *Last name                   
*First name or initial     
  Middle name or initial          Suffix (Jr./Sr./etc.)

*Please select preferred class location and date.

  Select alternate class location and date

Date of birth (MM/DD/YY) //19

Are you presently a licensed Texas notary public?    Yes     No
If you are a Texas notary, when does your commission expire?   
        I wish to apply to renew my commission now (expires within four months).
        Please remind me to apply to renew four months before my commission expires
              (free service).

*Name you (will) use as a notary public 

E-mail address 

IMPORTANT--We DO NOT sell or release our customers' e-mail addresses to others!!

*Daytime telephone  () - Ext.  
  Fax  () -

IMPORTANT--We DO NOT sell or release our customers' fax numbers to others!!

Evening telephone  () -

Residence address (NOT P.O. Box) 

City    State    *County   
Zip   

Are you a legal Texas resident? Yes  No   (US citizenship is not required)

Have you ever been convicted of a felony, misdemeanor, or crime involving moral turpitude?
     Yes  No  (If  yes, call the number listed at the top of the form before submitting your application.)

Company name (if applicable) 

How did you learn about Atkinson Bros. Agency and this website (radio, fax, friend, employer, other website, etc.)?

Payment Options
NOTE: Payment now guarantees your seat at the seminar on the day of your choice. You may also pay at the door on the day of the seminar.

        Check for $129.00 (includes advance registration discount of $20.00) payable to Atkinson Bros. Agency is enclosed. Attach your check to this side of printed form and send by US mail.

        Charge $129.00 (includes advance registration discount of $20.00)
                VISA   MC   DISC   AMEX
           Account Number  * 
              *The last four digits are optional on this form for your security and may be provided by telephone. Billing address and zip code (below) are required.
        Expiration date                 
        Name as shown on card 
        *Billing address (type in your billing address below or use the business mailing address listed above)
        Use the business mailing address listed above
        Use the address entered below:
      
      
                                          
        Authorized signature if not submitting online
         Date authorized  (MM/DD/YY) //

OUR GUARANTEE: If you are not commissioned as a notary, or if your commission is not renewed, all moneys will be refunded upon written request. 

Submission Options

    - Click the Submit button at the bottom of this form.                  

-OR-

       Print this completed form for your records.                     -THEN-

       - Fax your completed form to (713) 664-8156 or (800) 929-6094.

-OR-

        - Mail your completed form to P.O. Box 271989, Houston, TX 77277-1989 with check or money order.

To retain a copy of your completed form for your records, use the PRINT or SAVE buttons in your browser before submitting.

          
                                                                                                                                              
No password is required to submit this form.
If you are prompted to provide a password, please contact us immediately at 1-800-392-9864.

SA011PXA.WEB 

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Copyright © 2005 Atkinson Bros. Agency, Houston, Texas
Revised: August 23, 2006