Application For Reservation Of Corporate Name

APPLICATION FOR RESERVATION OF CORPORATE NAME * The undersigned does hereby applyreserve the following to corporate namefor use in Arizona: _________________________________________________________ [Name to be reserved] for a period of 120 days pursuant to the provisio ofn As.R.S. 10-402 & 10-3402. This applicationis accompanied by the application fee of $10.00 (U.S.) made payable to the Arizona CorporationCommission. Mail to: Arizona Corporation Commission Corporate Filings Section 1300 West Washington Phoenix, AZ 85007 _________________________________________ [Signature] ______________________________________ [Name of Applicant] _______________________________________ _______________________________________ [Address of Applicant] Telephone No: ( )____________________ Fax No: ( )__________________________* When approved, this form will be executed by an agofent the Corporation Commission and returned to you for yourfiles. CF: 0059 Rev. 5/00