Stock and Membership Certificate Order Form (128 bit secure encryption)

Thank you for choosing Spiegel & Utrera, P.A. for your stock or membership certificate order.

STEP 1.
Enter the name of your corporation or company as you would like for it to appear on the certificate:

STEP 2. Select the type of certificate that you would like to place an order for:

Stock Certificate
Spiegel & Utrera, P.A. offer blank custom printed stock certificates for your corporation. 15 blank customized, standard blue border, stock certificates with corporation name:
 

Membership Certificate
Custom printed membership certificates for your non-profit corporation or your limited liability company. We offer blank membership certificates with your company's name printed on them.

STEP 3. Select the speed of service for your order.

Five Day Service - $25.00
Certificate will be prepared and customized with your corporation or company's name and ready for delivery in 5 business days.


Next Day Service - $37.50
The preparation of your certificate will be expedited. Certificate will be prepared and customized with your corporation or company's name and ready the following business day for delivery.

STEP 4. Select Shipping and Handling Options

Your order for stock or membership certificates may be shipped to you via Ground Service for a charge of $32.95 or via Next Day Delivery for a charge of $62.95.

Regular Service Next Day Shipping

STEP 5. Contact Information.
Please provide us with a phone number and a valid email address for electronic correspondences.

Contact Information
Name of person placing order:
Contact Phone Number:
Contact email address:
   
STEP 6. Billing Information.
To complete your order with a credit card, complete the following section and submit your order with a valid credit card number. 
Billing Information  
Name on Credit Card
Billing address
City
State
Zip
Type of Card
Card Number
Expiration Date Month    Year
Enter 3 or 4 digit security code for your credit card:    What's a security code?
Total
 
Comments:

(List any details or instructions concerning your order)
 

We have taken the necessary measures to guarantee that any client information submitted to our secure server will not be intercepted by unauthorized parties. Without you having to download any additional software, your information is automatically protected with a 128 bit encryption certificate. Double click on the Gold Padlock on the bottom right of your browser's screen to bring up details of our SSL Security certificate.

Send it by mail
Make check or money order payable to Spiegel & Utrera, P.A. Print this page and mail your order to:

P.O. Box 450605
Miami, Florida 33245-0605

Fax it over
Complete your order, print your order, then fax it to 1-800-520-7800
We'll respond in a timely manner.