CERTIFICATE OF GOOD STANDING REQUEST

CERTIFICATE OF GOOD STANDING REQUEST

Please call (919.645.1700) with a credit card payment or mail in your check payment of $21.00 per request after submitting the form below.

requestor information

first name	required field invalid data	middle name	invalid data
last name	required field invalid data	suffix	(Jr., Sr., III) invalid data
NC Bar #	invalid data
office	invalid data
address	required field invalid data
address 2	invalid data	city	required field invalid data
state	required field invalid data	zip	required field invalid data
phone	(919-123-4567) required field invalid data	fax	(919-123-4567) invalid data
email	required field invalid data
Delivery Preference	*The certificate will be sent to the address shown above. Please be certain the mailing address you enter is correct.