BUSINESS DEVELOPMENT
CENTRE
4915 Bathurst St. Suite #
209. North York, Ontario. M2R 1X9
Phone: (416) 226-2921 Fax: (416) 226-0013
ORDER FORM
Corporate Name Search Report - NUANS $39.95 _____
(plus tax)
Corporate Name Pre-search Report $ 10.00 ______
(plus tax)
Please write clearly in CAPITAL LETTERS or type
1. Date _______________
2. Proposed Corporate Name to be searched:____________________________________________
3. Nature of proposed business:______________________________________________________
(computer, clothing, restaurant, etc.)
4. Federal: _____________ or Provincial _____________
5. Profit or Non-Profit : _____________________________
6. Your name : ________________________________________________________
Address : ____________________________________________________________
Telephone Office : ____________________________ Home :___________________________
Fax :__________________________
7. Payment method : (required for faxed orders)
Credit card # _______________________________________ Expiry date
:_____________
Account name _______________________________ and #________________
8. Delivery options :
Pick-up _________ Rush_____________ or Overnight ___________
___________________________________
Signature
__________________________________________
Full Name
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