I've been using PDFpen (by Smile On My Mac) for about a year and it has saved me so much time and frustration.
PDFpen allows you to edit PDF documents -- you can add text, images, and signatures. I've merged two PDF documents and deleted pages from others. This program is very easy to use -- I'm not big on reading manuals and was able to manage all of the basic features without accessing help. Since I'm not good at "signing" my name with the mouse, I've simply scanned my signature and am able to add it to the PDF document as an image.
Note: this software is only for the Mac.
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