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Thank you for placing your order with our company.

Below is a summary of your order. We recommend that you print out this page and retain it for your records. 

Order Number: 
Date: 12/19/2007 9:10 PM 

Payment Type: Credit Card 
Credit Card #: ********************* 

Shipping Method: UPS GROUND 

Shipping Address: 
Corporation name : 
Address : 

City : 
State/Province/District : 
Country : 
Zip code : 
Phone number : 
Attention of :

Corporate Info

Type of Business Entity: 
State of Incorporation: 
Year of Incorporation:  
Company Name: 


Products:  
Color: 
Price: 

Details 

Certificate 

Number prefix: 
Number: from 1 to 20 
Number of Units: 0 
Certificate Color: GREEN 

Certificate Class Signatures 
Signature 1: 
Signature 2:  

Pricing 
Order Sub-Total $
Taxes $0.00 
Shipping $
Order Total $

Order Comments: 

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