Credit Card Cover Sheet (Business Registry)
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Credit Card Cover Sheet (Business Registry) Form. This is a Oregon form and can be use in Business Registry Secretary Of State.
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Tags: Credit Card Cover Sheet (Business Registry), 701, Oregon Secretary Of State, Business Registry
SECRETARY OF STATE - CORPORATION DIVISION
255 Capitol Street, NE Suite 151
Salem, Oregon 97310-1327
Business Registry -Facsimile: 503-378-4381
Credit Card Cover Sheet
To:
Business Registry
Method of payment:
MasterCard
or
VISA
Credit Card Number:
-
-
-
Expiration Month/year:
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:
Would you like a Confirmation Copy?
(Stamped Filed Copy)
Yes ($5.00 additional charge)
No
Other Notes or Comments:
The Corporation Division offers filing by fax for our programs. Submitting by fax will speed
up the filing process. When filing by fax, a Visa or MasterCard must be used for payment.
701 (Rev. 8/08)
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