CONFIDENTIAL INFORMATION FORM - Corporate Kit Order Form
 After Pressing the Submit Button You Will Be Taken To The Secure Credit Card Application                         

Part A - Do Not Leave Any of the Spaces Blank
Your Name  

Mailing Address 

City, State, Zip  

Telephone No.    Fax No.  

email

Title Dated:  

Part B - Please provide the following information for the corporation or LLC
Name of Corporation or LLC exactly as it appears on the Certificate of Incorporation

 

Number of shares:  at par value of or

Number of shares at no par value

State/Country of Incorporation 

Date of Incorporation  

Address of Corporation  

City, State, Zip

Next Day Shipping Requested (please add $25.00 to the order form

DISCLAIMER:  Please check here to verify that you have read the following Disclaimer. There are no cancellations and/or refunds once the kit has been ordered. We are ordering the kit according to the information as provided in this form. If you have any questions please call us before placing the order. 

You can also print this form and fax it to Global Corporate Services, Inc. at (703) 995-0899.

I  do hereby certify that Global Corporate Services, Inc. has not provided me with personal counsel or tax advice.

Select Type of Payment Credit Card PayPal Check or Money Order Western Union 

Corporate Office and Address for the Corporation or LLC
 103 Fowler Court
New Castle, DE 19720
 

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Disclaimer: Global Corporate Services, Inc. is a registered agent and document filing service. Our company provides general information and incorporation filing services. We do not offer legal or financial advice. The use of our phone numbers on your web site or your corporate stationary is prohibited.

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