Personal Information of Principal Owner:

   Title:                            . Mr. Ms. Mrs. Dr.

   First Name:               

   Middle Initial:            

   Last Name:                

   Suffix:                         . Sr. Jr. III.

   Address:                    

   Address 2nd Line:   

   City:                            

   State:                           . AL AK AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

   Zip Code:                    (format xxxxx or xxxxx-xxxx)

   Email                         

               (Note: NRAAI will not share your email or other information with any third party)

   Mailing Address, same as above:

        Enter Mailing Address, if different from above:

        Address:                  

        Address 2nd Line: 

        City:                         

        State:                       . AL AK AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

        Zip Code:               

   Corporation Ownership:             . I am the only owner of this Corporation There are multiple owners of this Corporation This Corporation will be owned by another company I do not own this Corporation

   Corporation Type:                       . C Corp S Corp

   Corporation Name Selection:

              1st Choice:                

              2nd Choice:              

              3rd Choice:               

   Company Information:

   Address:                     

   Address 2nd Line:    

   City:                             

   State:                            . AL AK AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

   Zip Code:                       (format xxxxx or xxxxx-xxxx)

   Web Site URL:          

   Mailing Address, same as above:

        Enter Mailing Address, if different from above:

        Address:                   

        Address 2nd Line:   

        City:                           

        State:                          . AL AK AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

        Zip Code:                  

   Specify Company Type / Purpose*:          

                          *(Type a brief description of what your company does, or intends to do, as its primary function)

   Company Management:

   Who runs the company:                        . One or more owners of the Company run it One or more managers that are not owners of the company run it

   Duration Planned:                                 . The Corporation is planned to be run indefinitely The Corporation will be dissolved     

   Specify date, if planned dissolution:      (format 01-31-2001)

   Product/Service Selections (check all that apply):

   Resident Agent only, annually  $100

   Additional Services Available:

   Basic Incorporation with Resident Agent Status (US Residents only) $399

   Basic Incorporation with Resident Agent Status (Non-US Residents) $499

   Incorporation with Elite upgrade with Resident Agent Status (US Residents only) $499

   Incorporation with Elite upgrade with Resident Agent Status (Non-US Residents) $599

   Certificate of Good Standing (needed for foreign registration) $100

   Mail Forwarding, within Continental US, annually  $100

   Mail Forwarding, outside Continental US, annually  $200

   Articles only  $125

   Initial List only  $175

   Name Reservation  $75

   EIN Filing  $75

   Certified Documents, per document  $75

   State of Nevada copies, per page  $3

   Shares issued, $75,000 or less  $100

   Shares issued, $75,001 to $200,000  $225

   Shares issued, $200,001 to $500,000  $325

   Shares issued, $500,001 to $1,000,000  $425

   Shares issued, over $1,000,000  Call

   Corporate book kit, Standard  $90

   Corporate book kit, Economy  $83

   Virtual Office services, per month, from  $99, Call

   Nominee Services, from $299, Call

   Resignation of Director or Officer $125

   Certificate of Termination  $225

   Articles of Merger or Exchange  $450

   Dissolution of Corporation  $125

   Certified Documents, sent US Mail, per document  $75

   Certified Documents, sent 2nd Day FedEx, per document  $199

   Certified Documents, sent Next Day Priority FedEx, per document  $399

   Other Expediting fees (depends on services ordered) $75 to $299

   Payment Information:

   Method of Payment:                  . VISA Master Card American Express Discover

   Name as it appears on Credit Card:             

   Credit Card Number:                   (format: xxxx-xxxx-xxxx-xxxx include dashes)

   Expiration Date:                         . JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC              . 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   ,      . 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019

   Security Code:                               (format xxx or xxxx)

   Comments/Notes:

By clicking submit, your credit card will be charged for the total of all Products/Services ordered.