Belize Offshore IBC Package Online Order Form

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Belize Offshore IBC Package Order Form

Please complete the form and click "Submit Form" to submit it online or print it and send by fax or mail.

SPECIFY REQUIRED SERVICES

1. Package

Belize Offshore IBC Package - $1,090

2. Nominee Services for one year

Not required

Nominee Shareholder - $250

Nominee Director & PoA Apostilled - $440

3. Certificate of Good Standing

Not required

Certificate of Good Standing - $150

Certificate of Good Standing Apostilled - $300

4. Certificate of Incumbency

Not required

Certificate of Incumbency - $150

Certificate of Incumbency Apostilled - $300

5. Virtual Office services for one year

Not required

Basic Belize Office $350

Basic Canadian Office $350

Enhanced Canadian Office $495

6. Preferred method of payment

TOTAL: US Dollars - please write down this amount for payment.

ENTER DETAILS OF COMPANY

1. Proposed Company Name

Example: Relotech Consulting Inc.

2. Alternative Company Name (Optional)

The alternative name will be used when a proposed name is not available.

3. The primary purpose of the company

Please give a brief description. For example, IT consulting services.

4. This company is a shelf company

5. Authorized Capital

If you selected customized authorized capital, please specify your requirements in the "Any Additional Information "field.

6. Shareholders

(Skip if you ordered Nominee Shareholder.)

If you have more than three Shareholder, please enter other Shareholders in the field "Any Additional Information".

	Name	% of Issued Shares
1
2
3

7. Director

(Skip if you would like to use Nominee Director.)

If you have more than one Director, please enter other Directors in the "Any Additional Information" field.

Name
Address
City	, State/Province
Zip/Postal Code	, Country

8. Individual requiring Power of Attorney

(Skip if you do not use Nominee Director)

Name
Address
City	, State/Province
Zip/Postal Code	, Country

9. Corporate officers

(Skip if you would like to use Nominees.)

One person can hold all positions.

President
Secretary
Treasurer

10. Any additional information

11. Source of information about our company

12. Your contact information

Please enter your address for UPS courier delivery. No PO Boxes address is acceptable.

Name

Address

City

State/Province

Zip/Postal Code

Country

Phone

Fax

Email

Please read our Terms and Conditions and make your selection below.

I certify that the information provided above is true and accurate and all individuals listed in this form are at least 18 years old, of sound mind (mentally competent) and not in a status of bankrupt.

I understand and accept that submitting this form online and/or sending it via e-mail, fax or mail to A & P Intertrust Corporation I accept the Terms and Conditions and assume all responsibility for legitimate usage of all documents and information provided by A & P Intertrust Corporation.

Signature

Please enter your First and Last Name.

THANK YOU FOR YOUR ORDER!