TO APPLY ON-LINE COMPLETE THIS CONFIDENTIAL CREDIT CARD AUTHORIZATION FORM
Part A - Billing Information
DOES HEREBY AUTHORIZE Global Corporate Services, Inc.
(Name on Card)
to charge the amount of $ 2995.00.
Company Name
Billing Address
*** (if mail forwarding address
is different, see below ***
City, State, Zip
Telephone No.
Fax No.
Email Address
Date of Birth
Social Security No.
Title
Dated:
Part B - Company Information
Name of Corporation
State/Country of Incorporation
Original Date of Incorporation
Present Address of Corporation
City, State, Zip
If
you are interested in using our services, complete this confidential Contact
Information Form and A Representative Will Call Contact You Within 24 Hours
Name:
(required field)
Mailing Address:
City, State Zip:
Telephone Number
(required field)
Fax Number
Email Address
(required field)
Has your organization previously applied for tax
exemption? Yes No
What are your organization's exempt purposes? Check all that apply:
Charitable
Educational Religious
Scientific
Literary Testing for
Public Safety
To foster national/international amateur sports competition
When did your organization begin its operations?
Describe Your Organization's Activities:
What do you estimate your organization's Annual/Projected Revenues:
Describe your organization's present & planned revenue sources:
Is your request urgent? Yes
No. If yes, (note: it
usually takes from three to six months to get IRS
approval. If yes, please describe the urgency.
Additional Comments. if any
Part C -
Complete this only if mail forwarding information is not the same as above:
Name:
Company Name
Mailing Address:
(if other than above)
City, State Zip:
Telephone Number
Fax Number
Download the
Special Minutes Of
Meeting Of Board Of Directors
which must be signed by the
entire Board.
DISCLAIMER:
Please check here
to verify that you have read the following Disclaimer. There are no
cancellations and/or refunds once the corporation has been filed with the State
of Delaware. After you submit the form via email, please print and sign this
form and fax it back to Global Corporate Services, Inc. at (703) 995-0899.
Failure to fax this form back may
delay the filing of the corporation. Thank you for your prompt attention to this
invoice. Global Corporate Services, Inc. does not provide personal counsel or
tax advice.
I do hereby certify that
Global Corporate Services, Inc. has not provided me with personal counsel or tax
advice with regard to the formation or filing of this corporation. I, (or on
behalf of my client) do guarantee payment of the yearly resident agent fee of
$90.00 payable to Global Corporate Services, Inc. due January 15th of every
calendar year and acknowledge that the franchise tax is due to the State of
Delaware prior to March 1st of every year.
Authorized Signatory:
Social Security No.
Title
Dated:
Global must have an original signature on
file. Please FAX this form to Global Corporate Services, Inc. at (703) 995-0899
Send Confirmation of Receipt of Form to me at
(your e-mail address)
Corporate Office and Address for the Corporation or LLC
704 N. King Street Suite 500
P. O. Box 1031
Wilmington, DE 19899
County of New Castle |
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