TO PROCESS YOUR ORDER ONLINE:
Type in all the appropriate & required information & then Click the "Submit" button once. An amount of $100 **, will be charged to your Credit card.

To send your order by Fax or Mail, please Click Here.

Choice of Corporation Names: Choice 1 (Required) Choice 2 (Required) Choice 3 (Required) Corporation Address: Address (Required) City (Required) State & Zip (Required) Phone (Required) Email ID (Required) Corporation Officers:  (Please include Full Name, Address & Phone Number) President (Required) Vice President (Optional) Secretary (Required) Treasurer (Required) Stock Holders: (There must be at least 1 and Total shares % equal to 100%) Stock Holder 1 (Required)  Name  % of Shares Stock Holder 2 (Optional)  Name  % of Shares Stock Holder 3 (Optional)  Name  % of Shares Stock Holder 4 (Optional)  Name  % of Shares Registered Agent:  (May be ANY Stock Holder) Name, Address, Phone of Agent (Required) Credit Card Information: Card Type (Required)  Master Card  Visa Card Number (Required) Card Expiry Date (Required)  (MM)  |   (YY) Name on Card (Required)

Ordering by Fax or Mail:

To send your order by Fax or Mail, please Click Here to download the Order Form & then

• By Check or Money Order:
  print the page out, sign, and mail.



• By Fax (Credit Card Orders ONLY):
  print this page out, sign, and fax.

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Note:

Please enclose your check or credit card order in the amount of $100.00 **. You may pay by money order by mailing (Credit Card orders are to be Faxed) this application to:

Nicholas C. Waggoner, Inc.
(Paralegal)
501 East S.R. 434
Longwood, Florida 32750
FAX: (407)339-8410