Offshore Accounts, Offshore Banking, Offshore Company Formations....Application Form

.....Offshore Company Formation.....
Application Form

Shopcom International Ltd
9175 Mainwaring Road,
Sidney, B.C., V8L 1J9, CANADA
Ph 250 656 4490
Fax 250 656 8860
Attn. Rodney Brewer

This form will enable us to establish an Offshore Corporation with an Offshore Bank Account
for you in Nassau, The Bahamas. This includes the Government Incorporation fee, certified Incorporation Certificate, your Corporate Seal, Corporate Bank Account and provision of Local Office and Local Agent for your IBC. It will take approximately five business days to process and
have your completed Offshore Company documents Fedexed to you.
Our bank will courier your Gold Mastercard or Visa to you direct.
There is also an option below for your IBC to have a Nassau, Bahamas PO Box address where
we will hold your Company mail in Nassau and forward it to you.

Please print out this whole page (two printed pages), fill in the details and mail or courier to Shopcom International Ltd (address below) with money order or bank draft payment. Please
email me for details if you wish to pay by wire transfer.

Total cost for payment by money order or bank draft, including Fedex delivery, is US$2145.00. (Plus $100 if you require a Nassau address/hold mail option)

New client information: Note: Directors of IBCs remain anonymous; names of
shareholders are not recorded other than at the company's registered office and cannot
be divulged, by Law, to any authority of any jurisdiction.

COMPLETE ALL SECTIONS AND PRINT CLEARLY:

1) List 5 potential names for your International Business Company in preferential order.
(DO NOT include words such as financial, bank, trust, sovereign or royal in the name):
If you want a ready made, new shelf company, complete with bank account, email me
at [email protected] for the current list of available IBCs we have. These change daily.

_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________

2) Mailing address (ABSOLUTELY NO P.O. BOXES as the courier requires a physical
address for document delivery)

IMPORTANT: Phone contact number: ______________________________________

E-mail: _________________________________________________

3) Name of first director: ___________________________________________________

4) Shares to be issued to: [ ] Bearer [ ] Other: (Name)_____________________________

5) Hold mail option: [ ] Yes-$100 p.a. [ ] No

6) Total cost including document delivery:         $US   2145.00
                                     Hold mail option:         $US     100.00
        Bank fee if paying by Wire Transfer:         $US       20.00 *

TOTAL: $US _________

7) Signature: ___________________________________ Date: ____________________

Send this completed form (both pages) with money order or bank draft to:

Shopcom International Ltd
9175 Mainwaring Road., Sidney, B.C.,
V8L 1J9, CANADA
Attn: Rodney Brewer [email protected]

* If you prefer to wire the funds to us please email me for details.
There is a bank surcharge of US$20

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