Secure General Order Form

Secure General Order Form

This secure general order form allows existing clients to order and make payment for Registered Agent Fees, Mail Forwarding, Certified copies, Certificate of good standing etc.

Please place your request for services and/or agent fees in the Items Requested box.

Required fields are marked with an asterisk (*).

DOCUMENTS AND SERVICES REQUESTED

STEP 1: Describe your order and enter the Amount of Charge

*Use this space to describe your order. Where applicable list the tax year(s) and service(s).

*Amount of Charge: $

SHIPPING INFORMATION

STEP 2: Enter Shipping / Correspondence Information

*Company Name:
*Your Name:
Care Of:
*Mailing Address:	- US - Outside US

*Mail and Street Address:

*City:
*State in the USA:
*Zip Code:
Shipping Option	- Standard Shipping $0.00 - UPS $
Using UPS^® is highly recommended for documents, as it provides delivery tracking and is faster. Additional fees apply.

*Mail and Street Address:

*City:
State/Province:
*Country:
Postal Code:
Shipping Option	- Standard Shipping $0.00 - UPS $
Using UPS^® is highly recommended for international shipments because it provides delivery tracking and is faster. Additional fees apply.

*Phone Number:
Fax Number:
*Contact E-mail:
*Re-enter E-mail:
Confirmation of your order will be sent to this email address.

PAYMENT METHOD

STEP 3: Enter Billing Information.

Please enter your credit card data in the fields provided

*Name, as it appears on card:
*Credit Card Number:

*Credit Card Security Code/CV2:	- What is this
*Expiration Date:	/
Amount of Charge:	$
Shipping:	$

Total with Shipping:

NOTE: If your browser does not use javascript, your order totals may not apper on this page. Enter the values manually. Your order will be automatically calculated on the Review Order page.

BILLING ADDRESS

STEP 4: Enter Billing Information

Billing address same as correspondence address? - Yes

*Mailing Address:

- US - Outside US

*Mail and Street Address:

*City:
*State in the USA:
*Zip Code:

*Phone:
*Billing E-mail Address:

ATTACH FILES and REVIEW ORDER

If you have been asked to attach file(s) such as a completed form or proof of identification, please attach your file (PDF, MS Word DOC(x), Jpeg/JPG, PNG). Maximum file size permitted is 3.5Mb:

Add More Files