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Bahamas Incorporation Order Form
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Name: ___________________________________________________________
Address: ___________________________________________________________
City, State, Zip: ___________________________________________________________
Country: ___________________________________________________________
Telephone: ___________________________________________________________
Best Hours to Call: ___________________________________________________________
Fax: ___________________________________________________________
(Please include country and city codes)
¨ THE BAHAMAS IBC. Please incorporate a Bahamas International Business Company immediately and deliver all documents and share certificates to my attention at the above address. This includes the first year $500.00 registered office and registered agent fee. Enclosed is $1,495.00.

My choices of company names in order of preference are:

First Choice _________________________________________________________
Second Choice _________________________________________________________
Third Choice _________________________________________________________
¨ Bearer Shares; or
¨ Registered Shares
___________________________________________________
Shareholder Name(s), if registered
¨ OPTIONAL NOMINEE DIRECTORS. First year, additional $500.00.
¨ CORPORATE CURRENT ACCOUNT. $175.00
¨ OFFSHORE TRUST AND GOLD MASTERCARD. Please rush me the application and trust agreement to my attention at the above address. I have enclosed $300.00 or $250.00 if ordered at the same time as the Bahamas IBC.
¨ OFFSHORE TRADING ACCOUNT. Set up fee $350.00.
Total amount enclosed is
$___________________
¨ Cashier's Check ¨ Money Order
¨ Credit Card ¨ Bank Wire Transfer

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