AIS CORP CUSTOMIZED ARTICLES ORDER FORM

Attorney Information/Bill to Information

Attorney’s First Name:

Attorney's Last Name:

Attorney's Address:

Address Line 1

Address Line 2

City

State

Zip Code

Country

Attorney's Phone Number:

Name of Company:

Type Name as You Would Like it to Appear in The Articles. Specify Spaces, Punctuation and Capitalization.

1st Choice:

2nd Choice:

Principle Address of Company:

Address Line 1

Address Line 2

City

State

Zip Code

Country

Name & Address of Officer(s) or Director(s):

*If titles aren't specified, "Director" will be chosen

*Non Profits must have at least three Directors

1st Officer/Director

First Name of Officer/Director:

Last Name of Officer/Director:

Title:

Address of Officer/Director:

Address Line 1

Address Line 2

City

State

Zip Code

Country

2nd Officer/Director

First Name of Officer/Director:

Last Name of Officer/Director:

Title:

Address of Officer/Director:

Address Line 1

Address Line 2

City

State

Zip Code

Country

3rd Officer/Director

First Name of Officer/Director:

Last Name of Officer/Director:

Title:

Address of Officer/Director:

Address Line 1

Address Line 2

City

State

Zip Code

Country

Capital Stock Information:

Shares at

Par Value per Share (if any)

Registered Agent:

*A valid Florida street address is required.

*AIS can serve as your registered agent for the fee of $100.00 per year.

Choose one:

I have a registered agent

I would like AIS to serve as the registered agent

Registered Agent First Name:

Registered Agent Last Name:

Registered Agent's Address:

Address Line 1

Address Line 2

City

State

Zip Code

Country

Special Clauses/Restrictions (if any):

Provide me with Corporate Book:

Yes

Return Documents:

Overnight Ship

Regular Ship

Fax Documents:

Yes

If yes, please provide fax #:

Ship to information, if different from Bill to:

First Name

Last Name

Phone Number:

Address:

Address Line 1

Address Line 2

City

State

Zip Code

Country

AIS Corp Customized Articles Order Form