Corporate Records Outfit Order Form - Section 10a

CORPORATE RECORDS OUTFIT ORDER FORM
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Options: Green border certificates supplied unless ¨ blue, ¨ orange or ¨ brown specified.
Additional lithographed certificates @ .45 each	$	________
IRC Section 1244 complete set, plans, instructions, etc., $9.95 extra	$	________
Standard clause Number (Refer to selection of clauses on next page)	$	________
If 2" die seal required, and $36.00	$	________

CALIFORNIA CORPORATIONS ONLY
Print the following clause (no charge for one clause), green certificate only:

¨ 5C standard clause (non-registration under state or federal law, use with [Section 25102(f)]exemption)
¨ Close corporation and transfer condition [Section 25102(h)]		¨ Transfer condition [Section 25102(h)]

Subtotal

$________

Ship via Courier: $12/2^nd day, $18/next business day within the contiguous 48 states ($18/2^nd day, $24/next business day HI, AK, VI, PR, Guam)	$________
(Actual air freight charged on corporate outfits to all other locations and on all other products.)

Total price of corporate outfit	$________

Ship via Courier: $12/2^nd day, $18/next business day within the contiguous 48 states ($18/2^nd day, $24/next business day HI, AK, VI, PR, Guam)	$________
(Actual air freight charged on corporate outfits to all other locations and on all other products.)

Total price of corporate outfit	$________