OffshoreSimple.com

Dominica
offshore company
ORDER FORM


Please use this form for Dominica  ORDERS ONLY. If you wish to order a bank account or mail forwarding, please use the appropriate order forms:  General Order Form.
or click here for a Nordic ONE bank account

PLEASE COMPLETE IN FULL. Receipt of this form plus full payment (check here payment options and fees)  will constitute a confirmed and irrevocable order. Proceeding beyond this point and submitting this form is on this strict understanding. Forms received without matching payment will be held for a maximum period of 1 month then destroyed.

Contact us for general inquires.

If you would rather send us this form encrypted with PGP, please DON'T fill in the boxes yet, but highlight the whole of the form using your mouse (or Ctrl+A), save to clipboard using Ctrl+C then paste into your PGP program. Then indicate the names, options etc., you would like and when complete, encrypt and contact us Don't forget to send your public key for us to reply to you using PGP!

US Fax: +1 212 202-6468 
UK Fax: +44 207 900 1987

Please incorporate the following Company, details as below, as soon as possible. I have authorized payment to you by the method indicated at the foot of the order form.

Company Details

Incorporate in  Dominica

Preferred Name:
Two alternative names are also required.

Alternative 1:   
Alternative 2:   

Standard  incorporation fee for  Dominica Offshore Corporation:  US$ 999

Incorporation Fee: $399
Registered Office/Agent: $450 p.a. 
Government Licence: $150 p.a. due in June each year
Total: $999


 

* Nature of Business for which Company is intended (For our internal files only):

* Where will Company operate  (For our internal files only):

Directors
 
Please provide Director(s)
Director Name1 : It will also be the secretary:
The director can be secretary. Copies of all resolutions and accounts, reports of the company must be sent to the Registered Agent in Dominica, by the secretary if one is appointed, and if one is not appointed by the director.

Official Address1:

Passport number1:

Nationality1:

Ocupation1: 

Phone/Fax1:


Director2
Name2:

Official Address2:

Passport number2:

Nationality2:

Ocupation2: 

Phone/Fax2:

Contact us if you need more directors.

Shares and shareholders 
 

Please provide Shareholder(s) or write "as above" if details are the same
Name1:

Official Address1:

Passport number1:

Nationality1:

Ocupation1: 

Phone/Fax1:

Shares1:


Shareholder2
Name2:

Official Address2:

Passport number2:

Nationality2:

Ocupation2: 

Phone/Fax2:

Shares2:

Contact us if you need more Shareholders.

SHARE CAPITAL
(!) Unless instructed to the contrary, the company will be incorporated with an authorized share capital of US$1,000 with one class of shares of US$1.00 each, issuable in registered form.
Any amount over $5000 will require a source of funds document to be sent to Dominica.
Use standard authorized share capital, and issue all 1.000 shares to the shareholders
Use other amount of authorized share capital (only for new incorporations):

Share Capital :
Number of Shares :
Value of each Share
Currency of shares: US$ GBP

IMPORTANT NOTICE:

As is required by law, we would always need these documents for all directors and shareholders:

  • a certified copy of identification pages of passport,

  • police clearance certificate

  • a copy of their resume.
    These can be faxed, to start the incorporation, but originals will have to be sent to Dominica.

Optional Extras:

Certificate of Incorporation with Apostille US$150 (required for any bank acc)
Company seal $100
Courier delivery of documents
US$100

Mail Forwarding from Dominica ($400)

We can arrange for any letters addressed to your Company to be forwarded on to you at an address you specify. Please check below only if you DO want mail forwarding.

Mail Forwarding from Dominica - US$400 payable annually in advance, plus the actual cost of postage. We take a US$50 deposit to cover and then invoice for a further sum when this is used up.

Please indicate the mailing forwarding address:

Name:

Street Address: 

District:

City: 

State/County:   

Zip/Post Code:  

Country: 

For other MAILDROP, please check or virtual office pages.
Please note that the receipt of an order plus full payment including mail forwarding will be subject to our Terms and Conditions.

Corporate Bank Accounts

$500 Bank account at National Commercial Bank (NCB).
    
subject to requirements prescribed by the bank

Please also check  our Offshore Banking page for other bank accounts.

If you would like an account at another bank, please advise us separately by e-mail with all the details and we will try to make the necessary arrangements. Fees may vary from those quoted here.

MasterCard/Visa Debit/Credit Cards

Please check first our Offshore Banking page for full details.
 

Delivery Details

Please provide us with a Name and Address for delivery of the Company Kit. This can be anywhere in the world and can itself be a mail drop address if you require additional privacy. Please note however that because we normally deliver by Courier, we must have a full street address. A P.O. Box or General Delivery address will not suffice. If you do insist on a P.O. Box or a General Delivery address, your Company documents will be sent to you by ordinary mail. If this happens, delivery by sea-mail can be lengthy - several weeks in fact. If any banking facilities are required, your name and street address are a must.

DELIVERY address of incorporation documents:
 

Name:   
Last Name:  
Street Address: 
District: 
City:
State/County:
Zip/Post Code:  
Country:
Phone:

In case we need to contact you we would appreciate some contact numbers. These are optional however but please note that if there is a problem with your order and we cannot contact you other than by post, substantial delays could occur and we cannot be held responsible for any actual or consequential loss due to these delays.

If you wish to receive ANY return e-mail correspondence from us, your e-mail address is a must!

E-mail:     
Telephone:
Fax:  (Please include your country code.)
Write here please any comments or observations related to your order

Payment Methods

I will pay by:   Please check here all accepted payment methods 



Total of your order US$:
(don't forget to click the
"Send Order Now" button below)

Insert here any promotional code or special offer:

After you submit your order,
we will reply with a tracking number and payment instructions.

IMPORTANT NOTES:

1/ Please quote your name or e-mail address as a reference with your wire transfer. Otherwise we may not be able to tie in receipts with specific orders, which can delay the opening of your account!

2/ Please ensure that the GROSS order value is wired to our account. All currency exchange and wire costs, including those of any intermediary banks, MUST be debited from YOUR account.

ALL INFORMATION SUPPLIED IS TOTALLY CONFIDENTIAL AND WILL NOT BE DIVULGED TO ANY THIRD PARTY OTHER THAN TO ANY BANK CONCERNED WITHOUT EITHER YOUR EXPRESS PERMISSION IN WRITING OR UNDER THE TERMS OF A COURT ORDER.

Warning - before you order:  receipt of this form plus accompanying payment by any means will constitute a confirmed and irrevocable order. Please also read the Disclaimer on our Introduction Page.

I have read and agree to provide  due diligence requirements and
I have read and agreed to the terms and conditions as posted on this Website.

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