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Section 10

CORPORATE RECORDS OUTFIT ORDER FORM
Page 1 of 3

For correct order processing, please write legibly.

Ordered by:

 Ship to: (If different than "Ordered by")
_________________________________________ _________________________________________
Name Name
_________________________________________ _________________________________________
Firm Name Firm Name
_________________________________________ _________________________________________
Street Address Street Address
_________________________________________ _________________________________________
City, State, Zip City, State, Zip
_________________________________________ _________________________________________
Telephone/Fax Telephone/Fax
Important: We may call you if we have a question about your order.

Complete Corporate or LLC Outfit, including Seal:
Corporate Outfits (includes minute book, stock certificates, seal)
#101 The Wheeler Dealer Corporate Outfit - $75 $__________
#102 The Chairman of the Board Corporate Outfit - $99 $__________
#103 The Financier - $125 $__________
#104 The Limited Liability Company Outfit - $89 $__________

State of _______________________ Year of Organization______________________________________
Print corporate or LLC name as on organization document. (If longer than 45 characters, add $10.00 for 2" die seal.)

For corporations:
Number of shares authorized ___________ ¨ No par value  or   ¨ Par value $___________ per share

Certificates signed by___________________________________________________________________
(President and Secretary-Treasurer, or for LLC’s, Member-Manager unless specified)

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