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Request For Lists - New Filings 510 - Oregon

Request For Lists - New Filings Form. This is a Oregon form and can be used in Notary Secretary Of State .
 Fillable pdf Last Modified 6/30/2010
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Phone: (503) 986-2212 Fax: (503) 373-1166 Request for Lists -New Filings NOTARY Secretary of State Corporation Division 255 Capitol St. NE, Suite 151 Salem, OR 97310-1327 FilingInOregon.com CUSTOMER INFORMATION: NAME OF CUSTOMER AREA CODE & PHONE NUMBER BUSINESS NAME MAILING ADDRESS (Street Address, City, State, Zip): TYPE OF BUSINESS BUSINESS WEBSITE ADDRESS DESCRIBE HOW THIS INFORMATION WILL BE USED BUSINESS E-MAIL ADDRESS NOTARY Available in tab delimited text only Information includes: Notary name, address, commission number, and expiration date. FREQUENCY MONTHLY ($15.00 per month) AMOUNT ENCLOSED: $ (maximum 12 months or $180) WEEKLY ($15.00 per week) AMOUNT ENCLOSED: $ (maximum 52 weeks or $780) LIST OF ALL ACTIVE NOTARIES ($50.00 fee per request) MEDIA TYPE CD-ROM Diskette E-Mail DELIVERY If list are not emailed, please choose delivery option: E-Mail to following address Pick-up in person Mail to above address PAYMENT - PREPAYMENT REQUIRED. Make check payable to "Corporation Division", or you may fax this request with payment by VISA or MasterCard to 503-378-1166 Please charge $ to my Visa/MasterCard. Expiration Date: VISA OR MASTER CARD #: SIGNATURE: 510 (Rev. 8/02)
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