Register a Corporation, Limited Liability Company or Partnership

Please note: all fields are required.

First Name of Applicant:

Last Name of Applicant:

Type of Entity (e.g., corporation, partnership, limited liability company, trust or other legal entity):

Organized Under the Laws of:

Nature of Business:

Telephone Number:

Email Address:

	The Applicant hereby certifies that it has total assets in excess of U.S. $5,000,000.
	The Applicant hereby certifies that all of its equity owners are qualified individuals described in the user agreement. The Company, in its sole discretion, may request information regarding the basis on which such equity owners satisfy the above requirements.

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