Belize IBC Order Form


Company Name
Alternative Choice
Nature of business
Registered Address	Provided by Titoff Realty Other (please specify)
Other address
Director	Nominee - US$200 / year Your own Director
Name of Director
Director's Address
Director's Nationality
Shareholder	Nominee - US$200 / year Your own Shareholder Bearer Shares
Shareholder's Name
Shareholder's Address
Optional Services	No! Thanks! Apostille Offshore Bank Account Power of Attorney Corporate Seal Shipment by DHL
Name of Beneficial Owner
Owner's Address
Owner's Telepnone
Owner's E-mail

Please type in the symbols shown in the image above*

* - Required fields


	BELIZE
Address:	Office 2 16 Lauren Berges Crescent Belama Phase-3 Belize City Belize
Tel.:	+501-6328605
E-mail:	click here to e-mail us
	UNITED KINGDOM
Address:	250 Rosden House 372 Old Street London EC1V 9AU
Tel.:	+44845-8055149
E-mail:	click here to e-mail us

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