Sur Name:

*

First Name:

*

Delivery Address:

State/Province:

Zip Code:

Country:

Work Phone:

Home Phone:

E-mail:

*

Second E-mail (optional):

Preferred Method of Contact:

Please Send me a:

Panama Shelf Corporation Package ($1200 + tax)

New Panama Corporation Package ($1000 + tax)

New Panama Corporation Package with Board of Directors ($1200 + tax)

Panama Shelf Foundation Package ($1200 + tax)
New Panama Foundation Package ($1000 + tax)
New Panama Foundation Package with Officers ($1200 + tax)

New Entity - Selecting a Name: (enter three name options below)

Corporation Name Options
Corporations must include any one of the following prefixes: "Corp", "Corporation", "Inc", "Incorporated", or "S.A.":

1.
2.
3.
Foundation Name Options
Foundations must include the word,"Fundación" or "Foundation" in the name:
1.
2.
3.
Nominee Directors:
I would like to use Nominee Directors/Officers on my entity.
If you wish to provide your own directors/officers, please complete the details below. Please note that you must provide us with a photocopy of passport for each director that you would like to appoint:
President:
Complete Name:
Physical Address:
City:
State/Province:
Zip Code:
Country:
Passport Country:
Passport Number:
Secretary:
Complete Name:
Physical Address:
City:
State/Province:
Zip Code:
Country:
Passport Country:
Passport Number:
Treasurer:
Complete Name:
Physical Address:
City:
State/Province:
Zip Code:
Country:
Passport Country:
Passport Number:
Please provide any additional information regarding directors
that you would like for us to know:
I'd like to pay by:
Western Union: (We will send you guidelines) We recommend payment by Western Union in order to protect your privacy and execute your order quickly. You will generally not need to file any reports or provide ID when sending Western Union money transfers to Panama.
Money Gram: (We will send you guidelines).
International Money Order: Paying by International Money Order is an anonymous form of payment. However, please allow 3 weeks for clearing - we do not begin processing orders until payment has cleared. Make International Money Order payable to (Panama Legal Bureau).
USD Check: Only official USD bank checks are accepted. (We will send you guidelines).
Wire Transfer: (We will send you guidelines).
Other Optional Corporate Accounts:
Please assist me to set up a Panama Corporate Bank Account. (Additional US$600 introduction / set up assistance fee).
Shipping Methods - Please send my Documents by:
Airmail (no surcharge)
Courier (add US$50 )
Total Payment Amount:
Additional Comments:

URL: www.panamalegalbureau.com
E-mail: info@panamalegalbureau.com

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