| CLIENT DETAILS |
| Date: |
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| Client Name: |
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| Address: |
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| Contact: |
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| Delivery Instructions: |
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| Phone: |
Facsimile: |
| Email address: |
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| We
draw your attention to the new section 222A of the Corporations Law. A
company must first receive written consent from a person before
appointing them as a Director and/or Secretary. Noncompliance with this
section carries a maximum penalty of a gaol term. A Consent to Act form
is supplied in our register under tabled section Register of directors.
Allan's Off The Shelf and the directors of the company supplied will
not be held responsible for obtaining the above. |
Allan's Off the Shelf cannot guarantee that shelf companies supplied by us will have similar
names to existing companies. |
| COMPANY ORDER INSTRUCTIONS |
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| Common Seal (Optional)
$39 (Including GST) EACH |
Company Name
(1st Choice): |
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Company Name
(2nd Choice): |
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| It is the applicant's responsibility to ensure that the name does not conflict with any existing trading name(s). |
| Registered Office: |
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| Principal Place of Business: |
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| Existing Business Name? Form 5 Faxed? |
| APPOINTMENT DETAILS |
| APPOINTEE 1 |
| Given Names: |
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| Surname: |
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| Address: |
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| Suburb, State & Postcode |
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Date of Birth:
Country of Birth:
Town of Birth: |
Director Secretary Public Officer Chairman
Shareholder |
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No. of Shares: Type: |
| If shares not beneficially held but held on behalf of a Trust, Super Fund, Company or another person |
| please provide full name: |
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| APPOINTEE 2 |
| Given Names: |
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| Surname: |
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| Address: |
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| Suburb, State & Postcode |
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Date of Birth:
Country of Birth:
Town of Birth: |
Director Secretary Public Officer Chairman
Shareholder |
| |
No. of Shares: Type: |
| If shares not beneficially held but held on behalf of a Trust, Super Fund, Company or another person |
| please provide full name: |
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| APPOINTEE 3 |
| Given Names: |
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| Surname: |
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| Address: |
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| Suburb, State & Postcode |
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Date of Birth:
Country of Birth:
Town of Birth: |
Director Secretary Public Officer Chairman
Shareholder |
| |
No. of Shares: Type: |
| If shares not beneficially held but held on behalf of a Trust, Super Fund, Company or another person |
| please provide full name: |
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| APPOINTEE 4 |
| Given Names: |
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| Surname: |
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| Address: |
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| Suburb, State & Postcode: |
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Date of Birth:
Country of Birth:
Town of Birth: |
Director Secretary Public Officer Chairman
Shareholder |
| |
No. of Shares: Type: |
| If shares not beneficially held but held on behalf of a Trust, Super Fund, Company or another person |
| please provide full name: |
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| PAYMENT OPTIONS: |
Credit Card Payment: $552 for email version or $654 for company register (Pre Paid & INCL 2.2% surcharge)
Bank Deposit: $540 for email version or $640 for company register (pre paid)
30 Day Account: $660 (To approved clients only) |
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BANK DETAILS FOR DIRECT DEPOSIT:
Account Name: Allan's Off The Shelf
BSB: 012 349
Account No: 221 604 238
The Applicant hereby accepts full responsibility for any amount payable to Allan's Off
The Shelf for
the incorporation of the above company. |
| Signature of confirmation of order (if faxed): |
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