W.I.L. IBC/Corporation Application Form

Please fill in the (* required) client information below and then submit the form. You will get two chances to check your information, after which you will be invited to physically and/or electronically send your structure application to W.I.L.

Prefer to do the whole process manually? Download printable form here (PDF format) or here (RTF).

Jurisdiction
Panama (recommended) $1250 Prices include all applicable shipping
and handling charges and first year's
registered agent fees.
Belize$900
Costa Rica$1250
Dominica$1150
St. Vincent$1050
Marshall Islands$1200
Company Name *
1st Choice:
2nd Choice:
3rd Choice:
Are nominee directors required?   Yes No
If "No" specify:
Director #1:
Director #2:
Director #3:
Share certificates in bearer form? Yes No
If "Yes", Power of Attorney issued to (name):
PoA's Passport #:  Passport Issuing Country:
If "No", registered shareholder (name):
First Name * Last Name *
Delivery Address *
Note: Order can be shipped only to a physical address, not to a U.S. Postal Office Box.
City *     State *
Postal Code * Country *
Phone *     Cell    Fax
E-mail Address *
PGP protocol encryted email communication recommended (introduction here), or Hushmail.
5-digit W.I.L. reference # (if any)    Please make sure you enter the number correctly.
Note: If the applicant is a U.S. citizen, in some cases the company's registered agent will require a copy of the applicant's passport to be kept on file, but such will be subject to the secrecy laws of the jurisdiction.

Method of Payment – Select One: Alternative Digital Payment (info here). If this was the method chosen to the left then select one:  

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