Offshore Company, Offshore Trust, Offshore Foundation Application

* Name of Person Ordering  * required * Street Address for Courier Delivery   Telephone Number * Fax Number  * required * Email Address  * required * Name of the Entity Being Ordered  * required   Directors Names- 3 Needed with Addresses (If not specified we will use local nationals as nominee directors) * Prices Incorporation Package ($400.00) 3 Nominee Directors- Optional($75.00) Res.Agent/Reg.Address ($75.00) Cert.of Incorporation with Apos ($100.00) Government Franchise first year($250.00) Courier($40 US/$60 Europe/$80Asia)   Type of Payment Wire Transfer (Ask for bank info) Credit Card (Visa, Mastercard, Amex) Online (Paypal)   Payment By Credit Card Visa Mastercard Amex   Card Number   Cardholder´s Name   Expiration Date (Month/Year)   Card Identification Number (CIN is the 3 last digits in back of card for Visa/Mastercard, and 4 digits on top right of number in front of Amex)   Card Billing Address   Payment via Paypal (www.paypal.com) Paypal(Account: fidex@offshorecenter.com) * Total Being Paid (In US Dollars)  * required

Note:Fidex Group, S.A. will use local nationals as nominee directors of the company when the owner requests it. Allow 5 to 8 business days for the creation of your Offshore Entity. If the company name initially chosen already exists in the Public/Corporate Registry, we will be required to use an alternative name provided by the client.