DOES HEREBY AUTHORIZE Global Corporate Services, Inc.
        (Name on Card)
to charge the amount of $ to its:     

Account No.   Expiration Date   CVV

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

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)