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:

Address:

City:   State: Zip:

Telephone Number: Secondary or Cell Number:

Best time to call?

E-Mail Address:
Unless requested otherwise, we will be sending image proofs by e-mail.

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

Rank:

Navy or Coast Guard Rating Mark:

Wars or Operations, If Served:

   

Service From/Since: and/or To:

 

Special or Additional Information:

If you would like to have awards, badges and/or patches on your certificate list them in the box below, in order if possible. Click on the links to view award charts. Please list any devices you need, such as oak leaves, bronze stars, etc. next to their corresponding award. (not how many awards you have...list how many device images you need displayed)

View US Service Awards for Reference
Awards for Wars and Operations
Coming Soon

If you do not know your awards at this time simply leave it blank. We will be in contact and can get them from you at a later time.

How did you find out about us?

Please check if we have your permission to use your finished certificate design for a sample on our website or other publications?


Click once. Thank you for your patience.

Satisfaction Guaranteed!

CJM Military Certificates
Formerly CJM Certificates

Order by Phone:
Toll Free: (866) 447-1011

We take credit/debit, check or money order.