AIS LLC CUSTOMIZED ARTICLES ORDER FORM

Customer Information/Bill to Information

Customer's First Name:

Customer's Last Name:

Customer's Address:

Address Line 1

Address Line 2

City

State

Zip Code

Country

Customer's Phone Number:

Please Choose One:

Limited Liability Company

Professional Limited Liability Company

*A Professional Limited Liability Company must list a specific nature of business:

Please Choose One:

Certified Copy ($155.00)

Photo Copy ($125.00) (unless specified, photo copy will be chosen)

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

*If LLC is to be a manager-managed company, check here:

Name & Address of Manager(s) or Authorized Member(s):

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

1st Manager/Authorized Member:

First Name of Manager/Authorized Member:

Last Name of Manager/Authorized Member:

Title:

Address of Manager/Authorized Member:

Address Line 1

Address Line 2

City

State

Zip Code

Country

2nd Manager/Authorized Member:

First Name of Manager/Authorized Member:

Last Name of Manager/Authorized Member:

Title:

Address of Manager/Authorized Member:

Address Line 1

Address Line 2

City

State

Zip Code

Country

3rd Manager/Authorized Member:

First Name of Manager/Authorized Member:

Last Name of Manager/Authorized Member:

Title:

Address of Officer/Director:

Address Line 1

Address Line 2

City

State

Zip Code

Country

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/Membership Unit Info (if any):

Provide me with Corporate Book:

Yes

Return Documents:

Overnight Ship

Regular Ship

Fax or Email Documents:

Yes

If yes, please provide fax # or email address:

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 LLC Customized Articles Order Form