Courier Request

Courier Service Request

Use this form to schedule general secure pickup, delivery, or round-trip courier service for legal, business, and other important documents. If your request also requires notarization or apostille processing, please select the appropriate service from our website.
DateTime
Job Type
Who is requesting this service?
Company Name
Name of Company requesting service.
Company Phone
Company Email
Contact Person's Name

First NameLast Name
Name

First NameLast Name
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
cw_company_name
cw_client_name
Courier Type
#Documents Emailed/ for Pick-up
#Documents for Delivery
Number of Additional Documents Received at Delivery
#Additional Documents Received at Delivery
Number of Additional Documents Received before Return
#Additional Documents Received before Return
Number of Extra Documents for Return
📍 Route Summary
Enter each stop in the order the courier will travel.

• Pick-Up: where documents are first collected.
• Delivery: where the documents are delivered.
• Return (Round Trip only): where documents are picked up after delivery and returned.

The mileage and courier fee will be calculated automatically after submission if needed.
Pick Up Location

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Delivery Location

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Return Pick-Up Location(Round Trip Only)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
📅 Appointment Scheduling Instructions

Please schedule your courier appointments in the order they will occur.
- Pick-Up appointment must occur first.
- Delivery appointment must be scheduled after the Pick-Up appointment.
- Return appointment (if applicable) must be scheduled after the Delivery appointment.
Please allow adequate travel time between appointments. Appointment availability is not reserved until your request has been submitted. If requested appointment times are not practical due to travel distance or scheduling conflicts, White Rose Notary Services will contact you to coordinate the nearest available appointment times.
Pick up Date/Time
Delivery Date/Time
Return-Final Stop Date/Time
Pick Up Address
Delivery Address
Pick Up Extra Document Fee
Return Extra Document Fee
#Extra Documents for Return
Courier Service Fee
Includes standard local travel. Additional document handling charges and payment processing fees, if applicable, are calculated automatically.
Zero
Fee/mile
Return Document Difference
Pick up Document Difference
Fee/ document picked up
Fee/document returned
Share your comments to help us best serve you:
Scheduling Fee
Required prior to scheduling and will be subtracted from total fee.
Venmo Scheduling Fee
Card Scheduling Fee
Scheduling Display
Payment Display
Payment Method:
Override
Estimated Courier Fee Calculation
Venmo processing fee
Card processing fee
Full courier Fee
Includes standard travel within our local service area.
Venmo Total
Card Total
Stripe Final
White Rose Notary Services LLC
Payment Information
Please submit payment using the method selected above. Payment from Individuals is due upon submission. Entity/company payments are due as agreed.
fbbnotary@gmail.com

Should be Empty:

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Courier Service Request

Courier Services Fee