Order Form Instructions
* When filling out this order form a "*" to the left of the option indicates Special Instructions listed below.
* When using State of Entity (other), Name of Incorporation, Par Value (other)(i.e. $1,000.00) & Class (other) type    exactly as you wish it to appear on the Stock Certificates.
* Mo. Day, Yr. required for CA and HI only; all other States Year only applies.
* When typing Total Authorized Shares use numbers only (i.e. 10000).
* When using Numbering (other) list the to and from (i.e. 10-30)
* Signature Titles are listed in ranking order of the officers of the Corporation. The highest ranking officer is placed    on the bottom right of the Certificate, followed by bottom left, top right and top left.
i.e.
Secretary            Treasurer
Vice President     President
Copy protection certificates

What is copy protection certificates? When a copy protection certificate has been photocopied, a certificate with "void" on it will be printed. We currently only have Standard Certificates and Eagle Certificates in blue and green that have this feature.

are available that print "Void" on photocopies.

Details
Weight	1.10 lbs
Price:	$36.00

Options
* Entity	Choose Type of Incorporation Corporation Close Corporation Professional Corporation Professional Association Association Professional Medical Corporation
* Name
Year	Choose Year of Formation CA & HI Only 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900
Month	(Only CA & HI must enter) January February March April May June July August September October November December
Day	(Only CA & HI must enter) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
* State	Choose State or Country of Formation Alabama Alaska Arizona Arkansas California (**Full Date Required) Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii (**Full Date Required) Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming District of Columbia Puerto Rico Canada Mexico Nevis Turks and Caicos US Virgin Islands British Virgin Islands England Cayman Islands Other Use Comments Section at the Bottom of the Form
* Color	Choose Certificate Color Blue Red Brown Orange Purple
Class	Choose Class of Stock Certificates Omit Common Preferred Capital Bearer Registered Undesignated Voting Common Non-Voting Common Voting Preferred Non-Voting Preferred Class A Common Class B Common Class C Common Class D Common Class A Preferred Class B Preferred Class C Preferred Class D Preferred Series A Common Series B Common Series C Common Series D Common Series A Preferred Series B Preferred Series C Preferred Series D Preferred Other - Use Following Box:
* Total Authorized Shares
Additions	No Additional Certificates 10 Additional Certificates (+$7.00) 20 Additional Certificates (+$14.00) 40 Additional Certificates (+$28.00) 60 Additional Certificates (+$42.00) 80 Additional Certificates (+$56.00) 100 Additional Certificates (+$70.00) 150 Additional Certificates (+$105.00) 200 Additional Certificates (+$140.00)
Par Value	Omit Without $.0001 $.001 $.01 $.10 $1.00 $10.00 $100.00 Other Use Comments Section at the Bottom of the Form
Numbering	Use Standard Certificate Numbering 1-20 with Prefix 1-10 with Prefix Additional Certificates Ordered 1-30 w/ Prefix Additional Certificates Ordered 1-40 w/ Prefix Additional Certificates Ordered 1-50 w/ Prefix Additional Certificates Ordered 1-60 w/ Prefix Additional Certificates Ordered 1-70 w/ Prefix Additional Certificates Ordered 1-80 w/ Prefix Additional Certificates Ordered 1-90 w/ Prefix Additional Certificates Ordered 1-100 w/ Prefix Additional Certificates Ordered 1-110 w/ Prefix Additional Certificates Ordered 1-120 w/ Prefix Un-numbered Numbered 1-10 Numbered 1-20 Additional Certificates Ordered 1-30 Additional Certificates Ordered 1-40 Additional Certificates Ordered 1-50 Additional Certificates Ordered 1-60 Additional Certificates Ordered 1-70 Additional Certificates Ordered 1-80 Additional Certificates Ordered 1-90 Additional Certificates Ordered 1-100 Additional Certificates Ordered 1-110 Additional Certificates Ordered 1-120 Other Use Comments Section at the Bottom of the Form
* Signer	Secretary/Treasurer
* Signer	President
Clause	No Special Clauses Front of Certificate Designation Clause for multiple classes of stock (+$10.00) Delaware clause for multiple classes of stock (+$10.00) Securities Act of 1933 (+$10.00) California Section 25102F ; H and 418C (+$10.00) California Section 25102F (+$10.00) California Section 25102H (+$10.00) California Section 25102 F & H (+$10.00) California Section 418C (+$10.00) Other Use Following Box (+$10.00)
Front Other
Clause	No Special Clauses Back of Certificate Designation Clause for multiple classes of stock (+$20.00) Delaware clause for multiple classes of stock (+$20.00) Securities Act of 1933 (+$20.00) California Section 25102F ; H and 418C (+$20.00) California Section 25102F (+$20.00) California Section 25102H (+$20.00) California Section 25102 F & H (+$20.00) California Section 418C (+$20.00) Other Use Following Box (+$20.00)
Back Other
PDF Templates	Free Download on Website PDF Templates on CD (+$2.50)
Blank Gold Seals	No Blank Gold Wafer Seals 1 Sheet, 20 Gold Seal Totals (+$4.95) 2 Sheets, 40 Gold Seals Total (+$9.90) 3 Sheets, 60 Gold Seals Total (+$14.85) 4 Sheets, 80 Gold Seals Total (+$19.80) 5 Sheets, 100 Gold Seals Total (+$24.75) 6 Sheets, 120 Gold Seals Total (+$29.70) 7 Sheets, 140 Gold Seals Total (+$34.65) 8 Sheets, 160 Gold Seals Total (+$39.60) 9 Sheets, 180 Gold Seals Total (+$44.55) 10 Sheets, 200 Gold Seals Total (+$49.50)
Customized Gold Seals	No Custom Gold Wafer Seals 1 Sheet, 20 Gold Seals Total (+$9.95) 2 Sheets, 40 Gold Seals Total (+$19.90) 3 Sheets, 60 Gold Seals Total (+$26.85) 4 Sheets, 80 Gold Seals Total (+$35.80) 5 Sheets, 100 Gold Seals Total (+$44.75) 6 Sheets, 120 Gold Seals Total (+$47.70) 7 Sheets, 140 Gold Seals Total (+$55.65) 8 Sheets, 160 Gold Seals Total (+$63.60) 9 Sheets, 180 Gold Seals Total (+$71.55) 10 Sheets, 200 Gold Seals Total (+$79.50)
* Ship to	Ship to Location - Business or Residence Residence - including businesses working out of a residential location (+$3.00) Business (no residential fee) Multiple Order Charged Residential Fee on First Order
Recipient	No Signature Required Signature Required (+$3.50) Multiple Order Signature Fee on first Order
Comments
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