Use this form to order a company through Amex Associates. Please fill in details and submit. Alternatively download this order form in printable format and email it to incorporation@amexassociates.co.uk or Fax on 0871 994 0253

Company Preferred Name:		2nd Choice:
Registered address		If you want to use our address as your registered office please specify
Share capital:		If left blank, all companies will be formed with standard 100 ordinary shares)
Director 1 Details
Title:
Forename(s):		Surname:
Address:
Tel(Business):		Tel(Mobile):
Email:		Date of birth:
Shareholding:		Occupation:
Nationality:		Other director-Ships:
Director 2 Details
Title:
Forename(s):		Surname:
Address:
Tel(Business):		Tel(Mobile):
Date of birth:		Shareholding:
Occupation:
Nationality:		Other director-Ships:
Secretary Details
Title:		Forename(s):
Surname:		Shareholding(if any):	shares
Address:
Shareholding details
Shareholder 1
Title:
Forename(s):		Surname:
Address:
No of shares:
Shareholder 2
Title:		Forename(s):
Surname:
Address:
No of shares:
Shareholder 3
Title:		Forename(s):
Surname:
Address:
No of shares:
Other information: