WE GUARANTEE ALL INFORMATION YOU GIVE BELOW WILL BE HELD COMPLETELY CONFIDENTIAL!
U.S. Merchant Marine Order Form

Fill out the information on this form, then click the "Submit" button at the bottom of the page.

You can also order by phone- Toll Free: 1 (866) 447-1011
Your Name:
Name on Certificate - if different:
We may have to contact you with questions about your certificate. Please give us the your contact information.
Address:
City: State: Zip:
Telephone Number:
E-Mail Address :
Rank (optional):
Service Dates (optional) From: To:

Choices for Merchant Marine Certificate Wording
1.
Aboard Ships Sailing the GREAT LAKES
3.
Aboard Oceangoing Merchant Ships During "Wars Listed."
2.
Aboard Ships Sailing the GREAT RIVERS
4.
Aboard Oceangoing Ships in Service to the United States. Class of ???? U.S. Merchant Marine Academy Name

For option 3 please list wars:

For option 4 please list Class and Name of Merchant Marine Academy
Class of : Academy:
Medals for Merchant Marine are Now Available
Medals/Ribbons

Up to TWELVE photo images of your medals can be placed on your certificate at $5.00 ea.
Devices are $1.00 ea.

PLEASE LIST THEM IN ORDER OF IMPORTANCE
There are hundreds, so list the specific, complete name of each one, how many devices and what they are. (stars, oak leaves, etc.)
Medal #1 Devices:
Medal #2 Devices:
Medal #3 Devices:
Medal #4 Devices:
Medal #5 Devices:
Medal #6 Devices:
Medal #7 Devices:
Medal #8 Devices:
Medal #9 Devices:
Medal #10 Devices:
Medal #11 Devices:
Medal #12 Devices:

Up to EIGHT photo images of your ribbons can be placed on your certificate at $5.00 ea.
However, if you have a LOT of text, we may not be able to fit all eight.
We will try to fit as much info. as we can. Devices are an additional $1.00 ea.
Ribbon #1 Devices:
Ribbon #2 Devices:
Ribbon #3 Devices:
Ribbon #4 Devices:
Ribbon #5 Devices:
Ribbon #6 Devices:
Ribbon #7 Devices:
Ribbon #8 Devices:
Up to THREE photo images of your wings or badges, or patch/emblems
can be placed on your certificate at $5.00 ea. This too, depends on space available.
Badge #1    
Badge #2    
Badge #3    
       
Wallet Size Copies of Your Certificate are also available for $17.00 each.
Please Check if you would like one:
......Your original certificate must be made first in order to make the wallet size copy.
 
 
Your Certificate may be placed on a Cherry Wood Plaque with Classy Gold Border for $44.00 each.
Please Check if you would like one:

Special or Additional Information:


Click once; please wait for the payment page. Thank you for your patience.

For questions, price quotes or if
you prefer to pay by check or money order,
Please call Toll Free: 1 (866) 447-1011

Satisfaction Guaranteed
CJM Military Certificates
704 N. Easy Street #1
Payson, Arizona 85541