Personalized Certificate of Service
Information Form

Fill out the information, then click the
"Submit" button at the bottom of the page.
We guarantee all of your information will be held confidential.
Contact Information
We will be contacting you with image proofs of your certificate and any questions we may have. Please give us the your full contact information.

Your Name:


City:   State: Zip:

Telephone Number:

Secondary Number:

E-Mail Address:
We will be sending image proofs by e-mail.

Military Certificate Information
Name on Certificate:
Veteran? or Retired?


Navy or Coast Guard Rating:

Wars or Operations, If Served:


Service From/Since: and/or To:

Awards: We'll get your list of awards during the design process. It's best to e-mail them to us.

How did you find out about us?

When you click on the Submit button below your certificate information will be sent to us. You will be taken to a payment page to finalize your order.

Click once. Thank you for your patience.

Satisfaction Guaranteed!

CJM Military Certificates

To pay by phone:

Arizona: 1 (928) 978-0729
Toll Free: (866) 447-1011

Arizona Time Zone

We take credit/debit, check or money order.
Mail your Check or Money Order to

CJM Military Certificates
412 E. Alpine Drive ~ Payson, Arizona 85541