Please enter information for additional personalized certificates.
Each certificate contains the entry category, audience, title, publication date, and company name. Certificates can be personalized with individual's names.

*Note: Certificates are only available from 2003 to present.

Please enter in name comma title format with each name on a new line as shown below.

Jane Smith, President
John Doe, Publisher

Payment Information   

Total: $

Check or money order payable to AEP, 510 Heron Drive, Suite 201, Logan Township, NJ 08085.

Bill my credit card # 

Please note: this is a non-secure server. If you don't wish to provide your credit card information here, please submit the form, leaving this field blank, and call us at (856) 241-7772. 

*Security code:

* When providing your credit card information, it is necessary to include your card's security code.  For Mastercard and Visa, this is a 3 digit code located on the back of the card after your credit card number.  For American Express, the security code is a 4 digit code located on the front of your card.  Please contact Colleen Quigley at 856-241-7772 or by email at cquigley@AEPweb.org if you have any questions.
 

Type of credit card: Select MasterCard VISA American Express

Exp. Date:  

Cardholder's name:

Billing ZIP code:

Please review all the information you have provided before clicking the submit button below. We will e-mail a confirmation to you.