WYOMING INCORPORATION ORDER FORM
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Just complete this confidential order form and submit it with your cashier's check, money order or credit card number, and CRA of America, Inc. will do the rest.

Date _________/__________/__________

Your Name ______________________________________________________________________

Address _________________________________________________________________________

City __________________________________ State ____________ Zip _____________________

Telephone (_____ )_________-_____________ Fax (_____ )_________-______________

Best time to reach you:

Type of corporation desired:
¨ Profit ¨ Limited Liability Company (LLC)

Choice of three (3) company names in order of preference:

1) _______________________________________________________________________________

2) _______________________________________________________________________________

3) _______________________________________________________________________________

Name of directors and their addresses: (in the case of an LLC, names of members and manager)

1) _______________________________________________________________________________

2) _______________________________________________________________________________

3) _______________________________________________________________________________

Capitalization

Number of authorized shares: __________ or ¨ unlimited authorized capital stock

Par value of authorized shares $_________ or ¨ without par value