Payment for additional services

Payment for VIRGINIA Company Name:_____________________________________

IRS FILINGS EIN self-service is FREE. ___ $25 EIN filing with your SSN __ $25 S corp. status filing	Corporate & LLC kits with seal ___$65 complete kit ___$45 seal only Add __$10 for overnight shipping
Apostille ___ $89 + state fees	Reinstatement: __ $89 + due fees to state Amendments: ___$89 + state fees Dissolutions: ___$89 + state fees
Electronic Corporate and LLC forms: ___ FREE for clients ___ $30 Non clients	Certificate of Good Standing ___$89 + state fees
Virginia Registered Agent __ $149 One year Registered Agent __ $149 Pre-pay the second year __ $149 Pre-pay the third year	__ $199 First Corporate minutes __ $99 Annual Corporate minutes

PAYMENT INFORMATION: I authorize Eastbiz.com, Inc. to debit my credit card.

Check one:	__ VISA __MasterCard __ Discover __ AMEX
Credit Card Number:
Expire Date:
Name on the card:
Billing address:
City and State	City State Zip Code

Signature Of Card Holder______________________________ (Signature is required)

CONTACT INFORMATION

Company name

Contact Name

Phone, fax Phone: Fax:

Email:

Mailing address:

City and State City State Zip Code

Please fax back to 1-866-838-0363, (702) 387-3827 , EastBiz.com, Inc.– Virginia Corporations
Phone: 702-871-8678, www.incparadise.com, info@incparadise.com

Company name
Contact Name
Phone, fax	Phone: Fax:
Email:
Mailing address:
City and State	City State Zip Code