Application for your Nevada Corporation

[NON FRAMES]

Corporate Savings, the Delaware of the West)

711 S. CARSON STREET, SUITE 4A
CARSON CITY NV 89701
Phone: 1 (800) 944-1120 FAX: 1 (800) 757-2705

Corporate Application
For Secure Application

PART A. The following information is required to complete all orders:

INFORMATION: (For use only for records of American Corporate Register, Inc.)
Point & Click at the Text Box to be completed - use the TAB key to advance thru the Text Boxes.

Please Enter Your Name:

Client Name:

Client Address:

Client City State Zip:

Client Phone Number:

Client Fax Number:

Client Email Address:

Please Enter Your Email Address:

NAME OF CORPORATION:

Please provide three choices for your corporate name in order of preference.
Feel free to add your comments or questions.

PART B. Description of Services Ordered

I am ordering the following services package:

        Total Headquarters Package
        Small Business Office Package
        Basic Office Package
        Foreign Corporate 
        Open Nevada bank account
        Obtain federal I.D. number
        Resident Agent

If you wish you may fax or E-Mail your application: Fax: 1 (800) 757-2705

(ACR, Inc. is Registered with the Nevada Secretary of State)
Completion of this form authorizes American Corporate Register, Inc. to act as your nominee
to incorporate your business according to the instructions provided herein. When accepted by
American Corporate Register, Inc., this constitutes an understanding and agreement between
you and American Corporate Register, Inc. for services to be provided.