Corporate Application Form

Name of the company to be incorporated or purchased:

First choice:
Second choice:
Third choice:

Name and address of at least three (3) Directors:

DirectorOne:
DirectorTwo:
DirectorThree:

Name and address of three Officers:

Officer One: (President)
Officer Two: (Treasurer)
Officer Three: (Secretary)

Please list below a general description of the main activities of the company:


(Choose out whichever is not applicable) that the authorized capital is to be US$ 10,000.00 divided into one hundred (100) shares of US$ 100.00 each.

I agree   I disagree

If disagree, I would like the share capital at US$ divided into

shares of US$ each.


Special instructions (if any):

Print Name:
Date:
Address:

Phone:
Fax:
E-mail:
(required)
Where Did You Learn About Our Company? (check all that apply)
Economist
Time Magazine
EuroBusiness
The International
Surfing the Net
Other
Details:




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