Acadian/Beaumont Registry - Certificate of Registration

 ACAIDAN/BEAUMONT REGISTRY © - All Rights Reserved
Credit Cards accepted are Visa, Mastercard, American Express, and Discover

Order Here

Note: The information entered is not checked for validity - please make sure card number/CVV is entered correctly.

 

Your email address for receipt confirmation
(youremail@yourhost.com)

Your order will be processed without a valid  email address but you will not receive a confirmation receipt from the Acadian/Beaumont Registry.
   
Select your purchase (Check One)
 Standard Certificate - U.S. Mailing Address - $29.95
 Standard Certificate - International Mailing Address - $43.95 (USD)
 Custom Certificate - U.S. Mailing Address - $35.95
 Custom Certificate - International Mailing Address - $49.95 (USD)
   
Frame Color
 Gold
 Blue
 Green
 Maroon
 Red
   
If you are ordering for an address OUTSIDE of the U.S., ignore the next two options.
Add $9.00 for U.S. Priority Mail ? Choose one →  YES - Add $9.00 for U.S. Priority Mail
 No - Do not add $9.00 for U.S. Priority Mail
   
Add $4.00 for U.S. Package Mail ?
Includes USPS tracking number		  YES - Add $4.00 for U.S. Package Mail
 No - Do not add $4.00 for U.S. Package Mail
   
VIN of the Acadian/Beaumont for confirmation
   
Name(s) to appear on certificate
(Exact spelling and capitalization)
   
Ship to Address (1)
   
Ship to Address (2) (if needed)
   
Ship to City
   
Ship to State/Province
   
Ship to ZIP/Postal code
(xxxxx), (xxxxx-xxxx), (xxx xxx)
   
Phone Number (optional)
   

Card Information

  
Card Type (Check One)
 VISA
 MASTERCARD
 DISCOVER

   
Card Number
(xxxx-xxxx-xxxx-xxxx) or (xxxxxxxxxxxxxxxx)
   
CVV Code on back of card
(xxx)
   
Expiration Date (mm/yy) (xx/xx)
   
Billing ZIP/Postal code of cardholder
(xxxxx), (xxxxx-xxxx), (xxx xxx)