CorpKit Order Form

Corporate Kit Order Form
Please fill out form completely.
Standard Kit (Hot Stamp) ($68)	Deluxe Kit (Metal Hinge) ($95)
Black Green	Black Green Brown
Options (Choose one)
No Forms (deduct $5) No Corporate Seal (deduct $8) No Certificates (deduct $8)
Individual Items (Do not choose these if you are ordering a full kit)
Corporate/Notary Seal ($35) Stock certificates ($38) Minutes on 3 1/2 Disk (WordPerfect) ($28.95) Minutes on 3 1/2 Disk (Word for Windows) ($28.95)

Type of Organization (Choose one)
Corporation	Not-For-Profit
Limited Liability	Close
Professional
*State of Incorporation*
*Year or Full Date*	(Full date only necessary for California and Hawaii)
*Name of Incorporation*
	All capital letters Upper and lower case

*Number of Authorized Shares*	(1)	Par Value		Undesignated
*Number of Authorized Shares*	(2)	Par Value		Undesignated

Multi Class

Reflecting

Non-Reflecting

To be used only when you have multiple classes of stock.

*Stock Designations*	Common	Preferred	Undesignated
*Certificates signed by*	President	Secretary	Treasurer
	Secretary/Treasurer	Vice President	Other
	Other Signature Name
*Shipping*	Airborne AM	Airborne 2nd Day
	Airborne SDS	UPS
	RPS
*Clauses*	Standard Clause
	Designation clause for multiple classes of stock
	Delaware clause for multiple classes of stock
	Securities Act of 1933
	California Section 25102F & H and 418C
	Special (Please e-mail or fax to us)

Billed To:
*Reference #*
*Customer #*
	(if you don't have a Customer number, please include a credit card number)
*Firm Name*
*Street*
*City*
*State*		Zip
*Attention*		Title
*Telephone*	* important to contact you if we have a question
*Email*
Ship To:
	Same as Billed To
*Firm Name*
*Street*
*City*
*State*		*Zip*
*Attention*
*Telephone*
Payment:
*Credit Card Type*
*Card Number*		*Valid Thru*	/
*Name On Card*
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