Norfolk Corporate Support - New Company Order Form

ORDER FORM FOR A NEW COMPANY

ORDER FROM
Order From:
Contact Person: *
Address:
Suburb/State/Postcode:
Country:
Postal Address:
Suburb/State/Postcode:
Country:
Phone: *
Fax:
Email: *
BGL CAS Users: Do you require CAS datafile to be:	Emailed Copied to Disk
Do you require complete company binder to be sent with incorporation documents?	Yes No
Address for delivery of documents:

DETAILS FOR NEW COMPANY
NAME OF COMPANY:
1st Preference: *
2nd Preference:
3rd Preference:
Did you want a Constitution?
Main Signatory/ Chair Person:
Registered Office:
Principal Business Address:
Business Phone Number:
Nature of Business:
Do you require a company seal? (not compulsory, no additional cost)

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:
Class of Share: No. of Shares:
Standard is usually Ordinary $1 shares If different classes of shares are required, please advise what rights you want attached to the different classes of share

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

Any additional information or instructions?

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 : *

When you're ready, click on the Email Now button.