Online Corporate Services
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COMPANY ORDER FORM
Tick type of Company Kit required (GST Inclusive prices) To view share rights details click here
Standard ($736) Economy ($701)
(Includes Professional Indemnity Insurance $5.50 + Freight $15)
Optional Extras Common Seal ($40) BGL Disk ($18) BGL E-Mail ($18)
Division 7A Constitution ($195) Register to View Online Streaming Video Internet Domain Name Registration Also Required (Click here to complete form)
Division 7A Constitution ($195) Register to View Online Streaming Video
Internet Domain Name Registration Also Required (Click here to complete form)
Will this company act as a trustee for a Superannuation Fund and be non-trading?
Tick box for YES, leave blank for NO.
Company Names Requested (in order of preference)
If Company name is identical to your clients existing business name the declaration must also be completed. CLICK HERE
Company ordered by
Contact name
Phone Number Fax Number E-Mail Address ASIC Registered Agent No. (if known)
Full name and address of occupier giving consent as to registered office
Transfer Date - A.S.A.P. or insert date
Registered Office Details
Office, floor,building:
Street No. and Name:
Suburb, State, Postcode:
Principal Office Details
Street No. and name:
Company Officer Details No.1
Given Names
Surname
Residential Address
City State Postcode
Date of Birth Place of Birth State / Country
Shareholding Details
Class of Shares (1) NO SHARES ORDINARY "A" CLASS "B" CLASS "C" CLASS "D" CLASS "E" CLASS "F" CLASS "G" CLASS "H" CLASS "I" CLASS REDEEM PREF "J" CLASS REDEEM PREF UNCLASSIFIED LIFE GOVENOR Number of Shares
Class of Shares (2) ORDINARY "A" CLASS "B" CLASS "C" CLASS "D" CLASS "E" CLASS "F" CLASS "G" CLASS "H" CLASS "I" CLASS REDEEM PREF "J" CLASS REDEEM PREF UNCLASSIFIED LIFE GOVENOR Not applicable Number of Shares
Positions
Director Secretary Public Officer Shareholder Only Managing Director
Company Officer Details No.2
Company Officer Details No.3
Company Officer Details No.4
Company Officer Details No.5
Please debit my credit card for the supply of services as indicated on this order form.
Select Credit Card Type
Choose your credit card American Express Diners Club Mastercard Visa Bankcard
Credit Card Number (No spaces or dashes in credit card number)
Name on Card
Expiry Date Month January (1) February (2) March (3) April (4) May (5) June (6) July (7) August (8) September (9) October (10) November (11) December (12) Year 2011 2012 2013 2014 2015 (none)
Total Amount $
Any special instructions in relation to this order?
Please deliver Company register to:-
Accountant
Registered Office
Principal Place of Business
Other -
AGREEMENT - TERMS AND CONDITIONS FOR ORDERING A COMPANY
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By pressing the "Submit Order" button below you acknowledge that you have read all of the above Terms and Conditions, that you fully understand all of the wording contained in this Agreement, that you have fully complied with all the Terms and Conditions and that you agree with all of the Terms and Conditions contained in this Agreement. If you do not have a signed consent form click here for a blank form.
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