WE GUARANTEE ALL INFORMATION YOU GIVE BELOW WILL BE HELD COMPLETELY CONFIDENTIAL!
If you just landed here and want to find out more about our
Certificates of Service, Click on the heading link above.
CJM - ALL MEDALS Certificate Order Form
Print This Form, Fill it out and mail
to the address given at the bottom of the page.
Print Page
You can also order by phone- Toll Free: 1 (866) 447-1011

Please Circle the type of certificate you need:

Air Force
Army
Army Air Force
Coast Guard
Marine Corps
Navy
Air Natl. Guard
Army Natl. Guard
Merchant Marine
Please Choose ONLY One Heading: VETERAN ACTIVE  RESERVE RETIRED
Your Name:
We may have to contact you with questions about your certificate. Please give us your
contact information. If you have questions call us Toll Free: 1 (866) 447-1011
Telephone Number:
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:
Rank:

Medals/Ribbons
Call Us If You Have Any Questions
TOLL FREE: 1 (866) 447-1011
LIST YOUR MEDALS IN ORDER OF IMPORTANCE
There are hundreds, so list the specific, complete name of each one.
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:
Medal #13 Devices:
Medal #14 Devices:
Medal #15 Devices:
Medal #16 Devices:
Medal #17 Devices:
Medal #18 Devices:
LIST YOUR RIBBONS IN ORDER OF IMPORTANCE
There are hundreds, so list the specific, complete name of each one.
Ribbon #1 Devices:
Ribbon #2 Devices:
Ribbon #3 Devices:
Ribbon #4 Devices:
Ribbon #5 Devices:
Ribbon #6 Devices:
Ribbon #7 Devices:
Ribbon #8 Devices:
Ribbon #9 Devices:
Ribbon #10 Devices:
Ribbon #11 Devices:
Ribbon #12 Devices:
Ribbon #13 Devices:
Ribbon #14 Devices:
Ribbon #15 Devices:
Ribbon #16 Devices:
Ribbon #17 Devices:
Ribbon #18 Devices:
Ribbon #19 Devices:
Ribbon #20 Devices:
Call Us If You Have Any Questions
TOLL FREE: 1 (866) 447-1011
Wallet Size Copies of Your Certificate are also available for $17.00 each.
Please Circle if you would like one: WALLET
......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 Circle if you would like one: PLAQUE

Additional Information for extra text: cost: additional $10.00
Payment Information
WE GUARANTEE ALL INFORMATION YOU GIVE BELOW WILL BE HELD COMPLETELY CONFIDENTIAL!
Name:
Address:
City, State, ZIP:
Phone: E-mail Address:
Medals Certificates: How Many? ($39 ea.)
Total Certificate cost:
 $
Medals: How Many? ($5 ea.)
Total Medals cost:
 $
Ribbons: How Many? ($5 ea.)
Total Ribbons cost:
 $
Devices: How Many? ($1 ea.)
Total Devices cost:
 $
Mini- Wallet Size Certificate: How Many? ($17 ea.)
Total Wallet-Size Cert. cost:
 $
Place Certificate in Mahogany Plaque: How Many? ($44 ea.)
Total Plaque cost:
 $
TOTAL:
 $
Visa, MasterCard, Money Orders and Checks Will Be Accepted
Visa
MasterCard
Name on Credit Card:
Credit Card Number: Expiration Date:
Make your check or money order payable to CJM
Your payment can be sent, with this form to: 704 N. Easy Street, #1  - Payson, Arizona 85541
Please tell us, how did you hear about our website:
Satisfaction Guaranteed!
In Order to Provide You with the Best Personalized Service with your Certificate
Please allow 3-4 weeks for delivery.

 

Please print this form and send it to:

CJM Military Certificates
704 N. Easy Street #1
Payson, Arizona 85541
Print Page
Make your check or money order payable to C. J. M.
You can also order by phone- Toll Free: 1 (866) 447-1011

If you just landed here and want to find out more about our
Certificates of Service, Click on the link below.

CJM Military Certificates