Name * First Name Last Name Phone * (###) ### #### Email * Preferred Method of Contact * Text Message Email Phone Fax State in which business will be formed * (Choose One) Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Business Address * (Must be a physical address, or PO Box that provides physical address service) Desired Business Name * Business Structure (Choose One) Limited Liability Company (LLC) Corporation (Inc) Doing Business As (DBA) I am unsure, help me decide SSN/ITIN * (Used for your EIN Request) Confirm SSN/ITIN * Number of members for this entity? * (Choose One) 1 member 2 members 3 members 4 members 5 members More than 5 ( Add all names in the "Member Names Field) Member Names (if more than 1. provide first and last name separate by comma) Percentage of this entity each member owns? (Each owner does not have to have a equal percentage of ownership, but the total ownership must equal 100%; IE. the President, owner or CEO owns 50%, the the other 2 owners own 25% each) Additional Services We also provide a range of services to help your business get a head start and succeed using advance technology and networking techniques. Select any of the services you would like to add to your formation below. Digital Presence Creation Business Logo Professional Business Cards Business Email (Yourname @yourcompany.com)* Business Process Creation Business Website* Business ADs Flyers Cloud Services Equipment ( PCs, Tablets, Servers, Other) Thank you! Your invoice will be sent to the email provided once it has been reviewed by our team. If any additional information is required we will contact your via your preferred contact method within 1 business day.