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ORDER FOR A SHELF COMPANY


ORDER FROM
Order From:
Contact Person: *
Address:*
Suburb/State/Postcode:*      
Country:
Postal Address:*
Suburb/State/Postcode:*      
Country:
Phone: *
Fax:
Email: *
Address for Delivery of Documents
(If different from above)


Do you require a company seal?*
(not compulsory)

No
BGL CAS Users:
Do you require CAS datafile to be:



Storage Option:*

Slimline Corporate Register


$700 with seal
$680 no seal
Blue Corporate Folio $700 with seal
$680 no seal
No Binder Option $675 with seal
$655 no seal
Digital Option
(CD or PDF Emailed)
No paper copies provided
$575 with seal
$555 no seal

DETAILS FOR SHELF COMPANY
SHELF COMPANY NAME: *
(Please call our staff to discuss our current list of names and dates registered)
Standard constitution provided?
Date of Appointment of New Directors:*
Main Signatory/Chair Person:
Registered Office:
Principal Business Address:
Business Phone Number:
Type of Company: Trading Company

DETAILS OF COMPANY OFFICERS AND SHAREHOLDERS
#1
Surname:
Given Names:
Address:
Suburb/State/Postcode:      
Occupation:
Date of Birth:*
Town of Birth:*
Country/State:*
Director: Secretary: Public Officer:
Shareholder:
Ordinary Shares Issued:   No. of Shares:

Standard Shelf Company will be set up with 12 Ordinary $1 shares issued to be transferred to shareholder/s

#2
Surname:
Given Names:
Address:
Suburb/State/Postcode:      
Occupation:
Date of Birth:*
Town of Birth:*
Country/State:*
Director: Secretary: Public Officer:
Shareholder:
Ordinary Shares Issued:   No. of Shares:

Any additional information or instructions? Please include address for correspondence & documents,
if different from the address given in the first section of this form.

I * upon submission of this order form, confirm that the parties listed above have consented to act as officers of the proposed company. I have read over the information supplied and confirm that it is correct. I understand that typing/spelling errors or incorrect information given is my responsibility and additional costs will be incurred to correct errors in order forms after the registration of the company.
Please note the Company Binder, including all Minutes, Consents to Act, Share Certificates & Transfers, Constitutions, Registrations Forms, Registers & Company Seal remain the property of Norfolk Corporate Support until this invoice is paid in full.
Date : *

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