OFFSHORE COMPANY APPLICATION FORM

If you have decided to establish an Offshore Company please fill the necessary details in the form 
below and SUBMIT or, if you prefer, print the form and FAX to one of our fax numbers stated below.

Name:
Street:
City/State/Country, and Zip
Day-Time phone: Fax:
E-Mail:
   

Select your corporate or company name below. The name must contain a corporate designation such as 
Company, Co., Incorporated, Inc., Limited, Ltd., Corporation, Corp. or Limited Liability Company, LLC.

First choice:
Second choice:
Third choice:

Jurisdiction:

Type of business. Please give full description:-

Particulars of all shareholders.

Please select the appropriate box:-
Do you wish Waimea Bay Limited to provide Nominee 
Shareholders/Members or
The following are to be recorded as shareholders of the company .

Please provide the following information for all shareholders/members:
Full names, nationality, address of residence, occupation, Passport No. 
& Place of issue and the percentage number of shares or percentage 
of Interest in company.

Name and mailing address of the initial directors. Each corporation must have at least one director or manager.Please tick the appropriate box:
Waimea Bay Limited is to provide nominee Directors or Manager or
The following are to be recorded as Directors/Managers of the company .

Name:
Street:
City: Zip:
State/Country:
   
Name:
Street:
City: Zip:
State/Country:
   
OFFSHORE CORPORATE SERVICE
Please tick here if you require Mail Forwarding, Fax and Telephone facilities.
Please tick here if you require Waimea Bay Limited to arrange to have your corporate accounts opened.
Please tick here if you require Waimea Bay Limited to arrange to have a Secured Corporate Credit Card.
   
Costs:

All corporations and companies are formed with standard share capital. Additional fees would apply to companies incorporated with higher share capital. If you need a higher share capital, please email the 
information and we will return an email with the additional cost.

Formation fees include registration and legal fees, payment of duty in respect of the maximum authorised share capital for which minimum fees apply, supply of full documentation with copies of the Memorandum and Articles of Association.

COST OF FORMING YOUR COMPANY

DOMICILARY FEES
(a) Provision of registered office facility in the jurisdiction of incorporation
(b) Provision of the company secretary and/or assistant company secretary
(c) Provision of resident agent/local resident representative as required by local law
(d) Arranging the filing of the company's annual return or annual licence
To receive further domicilary cost information, please tick box:

DIRECTORS FEES
(a) Provision of professional third party nominee directors/managers and officers to comply with local laws

TOTALS:

Summarize your costs:

Incorporation (Including Government Fees):
Antigua Bahamas Belize BVI Caymans Dominica Nevis SVG TCI
US$ 1,700 1,400 1,310 1,700 3,350 1,700 1,700 1,350 1,600

Directors/Managers fees:

US$ 500

Remailing, Fax and Telephone facilities US$ 500
Establish Offshore Bank Account US$ 300
Secured Corporate Credit Card US$ 300

Total Remittance:

Credit Card Information:
I would like to pay by credit card and relevant details appear below.
Visa MasterCard American Express Diner Club
Name as Embossed on Credit Card
Address to which credit card statements are sent:
Number: Expiration Date:
   

Please note: Name and mailing address must agree with credit card billing address. You may simply press the "send" button and purchase online.


BEFORE SUBMITTING

ALTERNATIVE FORMS OF PAYMENT
As an alternative form of payment you could:

(a) Remit the funds to:

Bank Austria AG, Oberer Kirchenplatz 2, 9500 Villach, Austria.
Swift Code: BKAUATWW
US$ Account No: 790 120 266
Account Name: Waimea Bay Limited
Reference: Name of Company.


Please be sure to info us in your application or message to us a copy of details of the bank transfer instructions clearly showing the remitting bank, the name of the account from which the funds were sent, the date of the transfer and the amount and currency transferred date, your bank should provide this to you. If payment is being made directly to our bank account then it is important that a reference is made to the proposed company name so that payments can be correctly identified.


(b) Bank Draft
If you prefer you can send a cheque, Bank Draft or International Money Order to:
Waimea Bay Limited, 3422 Old Capitol Trail, Suite 786, Wilmington, DE 19808, U.S.A.

Please read this carefully!

By pressing the "submit" button the following is certified:

(a) I/We authorise Waimea Bay Limited to charge the fee above to my/our Credit Card.

(b) So long as Waimea Bay Limited continues to receive my/our Government Tax, I/we authorise Waimea Bay Limited to charge my/our annual fee to the above designated credit card.

(c) I/We hereby declare:- that all details given above are true and accurate, that I/we have read and understood your Terms and conditions of Business and that I/we agree to abide by them. I/We accept responsibility for the payment of the agreed initial and annually recurring charges billed in accordance with your published scale of fees.

Fax: +1 917 4648381, +44 870 1387648, +385 51 214355