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
MasterCard or VISA
Method of payment: Credit Card Number:
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)
Other Notes or Comments:
Yes ($5.00 additional charge)
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)