| Limited Liability
Company Name:
Exactly as you want it to appear on kit binder. |
. |
| Choose product | __ $35 LLC Kit with embossing
seal and shares
__ $35 Embossing seal only
|
| Shipping
International Shipping |
_x_ $20 for 2nd day
FedEx
___ $46 Western Europe and the Far East 3-4 days ___ $102 Australia 4-6 days ___ $129 Saudi Arabia, Middle East, Africa and China 5-9 days ___ $116 South America 4-6 days. ___ $ 96 Mexico and the Carribean. 3-4 days. ___ $112 Eastern Europe.5-6 days |
| Membership certificates: | __ Percentage or __ Units |
| Title of Officers who will sign certificates: | __ Member __ Manager |
| State of Incorporation: | . |
| Date of Incorporation: | . |
| TOTAL: | . |
PAYMENT INFORMATION:
I authorize Eastbiz.com, Inc. to
debit my credit card.
| Check one: | __ VISA __MasterCard __ Discover __ AMEX |
| Credit Card Number: | . |
| Expiration Date: | . |
| Name on the card: | . |
| Billing address: | . |
| City and State | City State ZIP code |
Signature Of Card Holder______________________________ (Signature is required)
CONTACT INFORMATION
| Contact Name | . |
| Phone, fax | Phone: Fax: |
| Email: | . |
| Mailing address: | . |
| City and State | City State ZIP code |