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 Military 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
Air Force Stripes ONLY-Please Check: OLD STRIPES NEW STRIPES
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:
Rank:
If Navy- Your Class: (PO3, PO2): Navy Stripes: Red Gold  
If Navy- Your specialty mark, (ie: Boatswain's Mate, Quartermaster etc)
Wars or Operations, If Served:
Service From/Since: and/or To:
Merchant Marine: If you want your Academy information on your certificate, please list Graduating Class and Name of Academy:
Class of : Academy:
To view Medals for Merchant Marine - click here.
Medals/Ribbons

Up to SIX photo images of your medals and seven ribbons 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.
Medal #1 Devices:
Medal #2 Devices:
Medal #3 Devices:
Medal #4 Devices:
Medal #5 Devices:
Medal #6 Devices:
In addition to your 6 medals you may place the following combinations on your certificate. Again, Ribbons and Badges are $5.00 ea. and Devices are $1.00 ea.
 Up to six ribbons -or-
 Up to four ribbons and up to two badges -or-
Wings and up to four ribbons or two badges
Ribbon or Badge #1 Devices:
Ribbon or Badge #2 Devices:
Ribbon or Badge #3 Devices:
Ribbon #4 Devices:
Ribbon #5 Devices:
Ribbon #6 Devices:
Some of the Military Badges Available Are: If not listed here just ask.
Military Freefall
Parachutists
Combat Crew
Combat Aircrew
Wings
Ordnance Disposal
Explosive Ordnance 		Explosive Ordnance Disposal
Combat Infantryman
Expert Infantryman
Combat Medical
Army Driver-Mechanic
Diver
Army Pathfinder
 Expert Medical
Aviation Observer
Scuba Diver
Army Ranger
Presidential Service
Other badges are also available. If you need one that is not listed you can e-mail us or give us a call TOLL FREE at 1-(866) 447-1011 (9:00 a.m - 5:00 p.m. West Coast Time)
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

Special or Additional Information:

Payment Information
WE GUARANTEE ALL INFORMATION YOU GIVE BELOW WILL BE HELD COMPLETELY CONFIDENTIAL!
Name:
Address:
City, State, ZIP:
Phone: E-mail Address:
Certificates: How Many? ($39 ea.)
Total Certificate cost:
 $
Medals: How Many? ($5 ea.)
Total Medals cost:
 $
Ribbons: How Many? ($5 ea.)
Total Ribbons cost:
 $
Badges: How Many? ($5 ea.)
Total Badges 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