Order an Individual Certificate

Certificate Information

Select the certificate you would like to order below. You will not have the opportunity to change this later, so make sure your selection is correct.
Certificate Selection:*
Great Lakes Certificate
Which version of the certificate do you want?*
Traditional version features traditionally clad mermaids.
Revised version is exactly the same, but features more modestly clad mermaids.
- Traditional
- Revised
Recipient Information
This certificate supports full name, rate, and rank. First and last name are required. All other fields are optional.
First Name*
Middle Name
Last Name*
Rate
Rank
Ship or Command:*
Add service designation to name:*
- None
- USN
- USNR
- Other
Custom Service Designation:
Location:*

Set the Date
All certificates will accept a single date. Some certificates accept a date range. If the date(s) are classified, you can indicate that instead of entering a date.
Include date on the certificate?*
- Yes, show the date.
- No, date is classified.
How should the date appear on the certificate?*
- Single date
- Date range
Date to Appear on Certificate*
This should be the date the recipient earned the certificate.
MM slash DD slash YYYY
Date to Appear on Certificate*
This should be the date the recipient earned the certificate.
MM slash DD slash YYYY
Start Date to Appear on Certificate*
This is the start date of the recipient's service or task for which they're being recognized.
MM slash DD slash YYYY
End Date to Appear on Certificate*
This is the ending date of the recipient's service or task for which they're being recognized. The 'end date' will only be used if a start date is entered.
MM slash DD slash YYYY
Point of Crossing
The certificate you've ordered allows for the point of crossing to be included. This is optional.
Print point of crossing on the certificate?*
- Yes
- No
- Crossing Classified
Degrees*
Minutes*

Customize the Message
This certificate's wording can be changed to accomodate your needs. For example, if you are "establishing" or "placing in service" a command or unit, the wording can reflect it.
Deep Dive Wording*
Select a message template to start with and customize it, or create your own wording from scratch.
Wording for Deep Dive Certificate*
Space is limited to 1200 characters.
595 of 1200 max characters
Name of Chief of the Boat
(optional)
Name of Commanding Officer
(optional)
Custom Wording for Plank Owner
Space is limited to 1200 characters.
0 of 1200 max characters
Is this a decommissioning certificate?*
- Yes
- No
Crew Member Type*
Custom Wording for Crew Member
You can make any changes to this wording but it is limited to 1200 characters.
478 of 1200 max characters
Special Title
(optional)
Special titles appear at the very top of a certificate.
See an example of where and how special titles appear.
0 of 40 max characters

Commanding Officer's Signature Line
Commanding Officer Signature Line:*
How should the commanding officer signature line be handled?
- Leave it blank
- Just print the name like the rest of the certificate
- Print actual signature if it is available on file, otherwise print like the rest of the certificate
Commanding Officer Name:*
Type the name exactly as you want it to appear on the certificate.

Contact and Shipping Information
Contact Name*
First Last
Contact Phone*
Contact Email*
Enter Email Confirm Email
Shipping Address*
Enter the address here the printed certificate should be mailed.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Certificate Information