Applicant's Name:

Address:

Telephone:

Fax:

E-Mail:
     

1: Provide us with a Company name plus three alternative choices.

• a) (First Choice)
• b) (Second Choice)
• c) (Third Choice)
• d) (Fourth Choice)

2: Select either Standard (suitable for any type of business activity) or Non-standard Memorandum and Articles of Association. If you select Non-standard, please provide specific details in the space below.

Standard Non Standard

 

3: Now select either Standard share capital, for which your company will be incorporated with an authorized share capital of USD$50,000.00 with one class of shares at a par value of USD$1.00 and issuable in registered or bearer form; or Non-standard, for which you will need to provide specific requirements in the space below.

Standard Non Standard

Currency:

Share Capital:

4: The registered agent and office is provided by Georgetown Trust, Ltd., Belize Marina Towers, Suite 402. 4 Princess Margaret Drive, Belize City, Belize, Central America

5: Provide us with a list of shareholders, including name, address, occupation, nationality, and number of shares assigned.

6: Georgetown Trust, Ltd. will provide corporate nominee officers, or you may list your own directors, stating name, address, occupation, nationality, and number of shares assigned.

I have wired the sum of US$
payable to Georgetown Trust, Ltd. in accordance with your wire instructions:

Bank of America, International, 300 Harmon Meadow Boulevard, Seacaucus, NJ 07094, USA

ABA No. 026-009-593 S.W.I.F.T.: BOFA US 3N

Beneficiary Bank : The Belize Bank Ltd., International Division, Account #6540-8-26058

For further credit to: Georgetown Trust, Ltd., Account #402-365-6

Please debit my credit card with the sum of US$

Card Type:            American Express MasterCard Visa Discover PayPal

Number:               

Expiration Date:   

Cardholder Name:

Please review form thoroughly and Click the Submit Button.