Incorporation_Template

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					Limited Company Incorporation Order

Use this form to order a company through Amex Associates. Please fill in details and submit. Alternatively
download this order form in printable format and email it to incorporation@amexassociates.co.uk or Fax
on 0871 994 0253

                                             Company Details
Preferred Name
 nd
2 Choice
Reg’d address


                            If you wants to use our address as your registered office please check this box
Share capital               (please state the desired share capital of the company, if left blank, all companies will
                     be formed with standard 100 ordinary shares)

                                             Director 1 Details
Title              Mr/Mrs/Miss/Ms/Dr/Other
Forename(s):

Surname:

Address


Tel                Business:                                 Mobile:
Date of birth
Shareholding
Occupation

Nationality

Other director-
Ships              (please list all other directorships of the director)
                                             Director 2 Details
Title              Mr/Mrs/Miss/Ms/Dr/Other
Forename(s):

Surname:

Address


Tel                Business:                                 Mobile:
Date of birth
Shareholding
Occupation

Nationality
Other director-
Ships              (please list all other directorships of the director)
                                    Secretary Details
Title           Mr/Mrs/Miss/Ms/Dr/Other
Forename(s):

Surname:

Address


Shareholding         shares
(if any)
                                  Shareholding details
Shareholder 1   Mr/Mrs/Miss/Ms/Dr/Other

Forename(s):

Surname:

Address




No of shares

Shareholder 2   Mr/Mrs/Miss/Ms/Dr/Other

Forename(s):

Surname:

Address




No of shares

Shareholder 3   Mr/Mrs/Miss/Ms/Dr/Other

Forename(s):

Surname:

Address




No of shares
                                              Other information
(Insert information not entered anywhere else in the form above, such as additional directorships, shareholdings etc)

				
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posted:10/29/2012
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