HTML Preview Credit Card Fax Cover Sheet page number 1.
Credit Card Fax Cover Sheet
Secretary of State - Corporation Division - 255 Capitol St. NE, Suite 151 - Salem, OR 97310-1327 - http://www.FilingInOregon.com - Phone: (503) 986-2200
Business Registry Fax: 503-378-4381
Notary Fax: 503-986-2300
UCC Fax: 503-373-1166
Method of payment:
MasterCard
VISA
American Express
Discover
Expiration Date:
Please provide the following information, in case there are questions concerning your filing.
Cardholder Name:
Billing Address:
City, State, Zip Code:
Phone Number:
Business Name:
A free stamped-filed confirmation copy of your filing will be available on our website within 24-48 hours after your filing has been
processed at www.filinginoregon.com/businessnamesearch or you may request to have an additional copy mailed to you for an additional
$5 charge.
Would you like a Confirmation Copy of your Business Registration filing?
Yes ($5.00 additional charge) No
Other Notes or Comments:
Please allow 5-7 business days for processing of faxed filings.
File online for priority processing by same or next business day.
Credit Card Fax Cover Sheet 11/15
CREDIT CARD NUMBER:
CREDIT CARD NUMBER:
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