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Incorporation Order Form If you seek to establish an IBC or Domestic (CAP285) Company, this form will enable you to enter your proposed company information while online for instant transmission to our staff. For your own benefit, please make certain to review our comprehensive online Incorporation Procedure and Pricing Schedule. As completion of this form is a legally binding business transaction, all parties directly involved in the proposed company should also review Elan's Terms and Conditions of Business before proceding. Incomplete form submissions or those containing errors will be held on file for updates or corrections. You may also print this form (formatted for Microsoft Explorer 4.0) and fax it to Elan Corporate Services Ltd. at +1 (284) 494.2838.
Visit our Secure Form to send your incorporation request fully-encrypted as an additional measure of safety. Use of this form for secure payment also entitles you to a US$100 discount off the price of incorporation for each IBC you order. More importantly, it enables us to incorporate your company within one business day. Encryption-capable browsers include: Netscape 3.0, 4.0 and Microsoft Explorer 3.0, 4.0. Otherwise, you may use the following non-encrypted form.
To: Elan Corporate Services Limited
I herewith instruct you to undertake the necessary steps to form a BVI Company according to the following confidential information:
Contact representative (applicant):
Applicant occupation:
Applicant nationality:
Applicant representative organization:
Mailing address*:
* Please specify an address frequented by major private international mail carriers, such as Federal Express or DHL. Note that mail service providers will often require an individual to sign for receipt of documented shipments.
E-Mail address:
Telephone:
Telecopier (fax):
Web site URL:
Type of company required:
International Business Company (IBC)
Domestic (CAP285) Company
Domestic (CAP285) Company Limited by Guarantee
Proposed company name:*
* Companies may have names ending in "Limited", "Corporation", "Incorporated", "Societe Anonyme", "Sociedad Anonyma," or their abbreviations. To ensure availability of a name for your company, please submit three alternative names, in order of preference.
Alternate name 1:
Alternate name 2:
Alternate name 3:
Purpose of proposed company:
Geographical area of operations:
Company share information*:
* Please indicate the authorized capital and currency for the company, the total number and par value of shares, and the total number of shares to be issued on incorporation. Standard specifications would be: "authorized capital of US$50,000.00 divided into 50,000 shares each with a par value of US$1.00, with all 50,000 shares issued on incorporation." Please note if shares are to be unregistered (e.g., issued to "bearer"), or if no authorized capital or par value are to be declared (in which case the number of shares must still be specified). If you are interested in Bearer Shares please contact Elan as the Laws governing Bearer Shares have been recently amended.
Shareholder #1 name:
Shareholder #1 share allocation:
Shareholder #1 occupation:
Shareholder #1 nationality and Social Security #: Address for Shareholder #1:
Shareholder #2 name:
Shareholder #2 share allocation:
Shareholder #2 occupation:
Shareholder #2 nationality and Social Security #:
Address for Shareholder #2:
Shareholder #3 name:
Shareholder #3 share allocation:
Shareholder #3 occupation:
Shareholder #3 nationality and Social Security #:
Address for Shareholder #3:
Shareholder #4 name:
Shareholder #4 share allocation:
Shareholder #4 occupation:
Shareholder #4 nationality and Social Security #:
Address for Shareholder #4:
Shareholder #5 name:
Shareholder #5 share allocation:
Shareholder #5 occupation:
Shareholder #5 nationality and Social Security #:
Address for Shareholder #5:
Do you wish Elan to furnish nominees for the above shareholders? Yes No
Do you wish Elan to assist you in establishing a BVI bank account? Yes No
Do you wish Elan to furnish nominee directors and officers*? Yes No
* If answer to previous question is negative, state the names, addresses, nationalities and occupations of all directors and officers. Note that the same person may be designated as the sole director, beneficial shareholder, chairman and secretary:
Director #1 name:
Director #1 occupation:
Director #1 nationality and Social Security #:
Address for Director #1:
Director #2 name:
Director #2 occupation:
Director #2 nationality and Social Security #:
Address for Director #2:
Director #3 name:
Director #3 occupation:
Director #3 nationality and Social Security #:
Address for Director #3:
Officer #1 name:
Officer #1 title (Chairman, Secretary, etc.):
Officer #1 nationality:
Address for Officer #1:
Officer #2 name:
Officer #2 title (Chairman, Secretary, etc.):
Officer #2 nationality:
Address for Officer #2:
Have you already faxed references and certified identification to Elan? Yes No
Have you already calculated fees due and wired payment to Elan? Yes No
Please tell us anything else we should know:
Place and date:
Signature and date:
Thank you for choosing Elan Corporate Services Limited!
© Elan Corporate Services Ltd., MCMXCVI-MMIV. All rights reserved.
Corporate Address: Palm Chambers / P.O. Box 119 / Road Town, Tortola, B.V.I.
Telephone: +1 (284) 494.4590 / Telecopier: +1 (284) 494.2838 / E-mail: elan@elanbvi.com
Please report any problems to: postmaster@elanbvi.com