International
Incorporation Order Form
page 1 of 2
| Name: |
|
___________________________________________________________ |
| Address: |
|
___________________________________________________________ |
| City, State, Zip: |
|
___________________________________________________________ |
| Country: |
|
___________________________________________________________ |
| Telephone: |
|
___________________________________________________________ |
| Best Hours to Call: |
|
___________________________________________________________ |
| Fax: |
|
___________________________________________________________
(Please include country and city codes) |
| ¨ |
I instruct CRA to incorporate a _____________________________________, (type of
company) immediately in _____________________________ (name of country). This includes the
first year registered office and registered agent fee. Please deliver all documents and
share certificates to my attention at the above address enclosed is $_____________. |
My choices of company names in order of preference are:
| First Choice |
|
_________________________________________________________ |
| Second Choice |
|
_________________________________________________________ |
| Third Choice |
|
_________________________________________________________ |
¨ Bearer Shares;
or
¨ Registered Shares |
|
_________________________________________________________
Shareholder Name(s), if registered |
|
|
|
| ¨
NOMINEE DIRECTORS.First year. (optional if available) |
|
$_____________ |
| ¨
NOMINEE SHAREHOLDERS. First year. (optional if available) |
|
$_____________ |
| ¨
CORPORATE CURRENT (CHECKING) ACCOUNT |
|
$_____________ |
| ¨
SECURITIES TRADING ACCOUNT |
|
$_____________ |
| ADDITIONAL SERVICES. (if
any):
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________ |
$_____________ |
|