OffshoreSimple.com

SAMOA
offshore company
ORDER FORM


Please use this form for Samoa  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  SAMOA

Do you require a ready-made company?

If yes, state the name of any ready-made company which may have been reserved for you:

Please indicate the type of  your company: 
International Company or
Limited Life International Company (LLC)

Preferred Name:

Two alternative names are also required. If all three names are currently taken, we will attempt to logically re-combine your choices to create a unique company name. This will be reserved but not confirmed until you have agreed it is acceptable.

Alternative 1:  
Alternative 2:  

Standard  incorporation fee for SAMOA Offshore Corporation:  US$ 975
Incorporation Fee: $275
Registered Office/Agent: $400 p.a. 
Government Licence: $300 p.a.
Total: $975
(US$1,000,000 Capital.
)

I want a Long Term Incorporation 
For an international company which elects to be incorporated or registered for a long term period the fees are as follow:

Incorporation fee US$1,250 (instead of $975)
Government fees:
   
5 years US$1,000
   
10 years Government fee US$1,500
   
20 years Government fee US$2,000

Capital:
Authorized share capital (will be paid up in 1$ / share)
Use Standard of $1,000,000
Non Standard, Use US$   authorised share capital

TYPE OF BUSINESS TO BE PURSUED BY COMPANY (For our internal files only):

Source of funds:

We recommend that you appoint your own directors and secretaries.
Secretary
Please provide Corporate Nominee Secretary (US$300 / year)
I will provide Secretary: (can by yourself)
Secretary Name   
Secretary Official Address:

Directors
Please provide Corporate Nominee Director (US$500 / year) + $150 the Power of Attorney
I will provide Director(s):

Your FULL Name, Address, Date of Birth, Profession/Occupation please:
If you have selected
Corporate Nominee Director, these details will be included in the POA, not in the incorporation documents.
Name1 and occupation:
Official Address1:

Passport number1:
Nationality1:

Name 2 and occupation:

Official Address2:

Passport number2:

Nationality2:

Name3 and occupation:

Official Address3:

Passport number3:

Nationality3:
if you need more directors.

Shareholders
Corporate Nominee Shareholders (US$300 / year)
I will provide Shareholders

If you use Nominee Shareholders, write here the
BENEFICIAL owners:
Shareholder 1 Name and occupation:   
Shareholder 2 Official Address:

number of shares (out of 10):  

Shareholder 2 Name and occupation:
 
Shareholder 2 Official Address:

number of shares (out of 10):  

Shareholder 3 Name and occupation:
 
Shareholder3 Official Address:

number of shares (out of 10):  

Contact us if you need more Shareholders.

IMPORTANT NOTICE:

As is required by law, we would always need a document on file identifying the above individuals. Perhaps a clear faxed (Fax No: +1 212 202-6468) copy of the relevant part of their passport or scanned copy sent by email will suffice.
For Samoa companies we will also need a
bank reference from you.

Optional Extras:

Company kit and dividers US$100
Certificate of Incorporation with Apostille US$150 (required for any bank acc)
Corporate Seal
 (required for bank acc) US$50
Notarization of Memorandum & Articles of Association: US$150
Courier delivery of documents
US$100

Mail Forwarding from Samoa  ($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 - US$300 payable annually in advance, plus the actual cost of postage. We take a US$100 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

Please check first our Offshore Banking page for full details.

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 and address of correspondence with you:
 

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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