Application To Register Name Of Foreign Corporation

APPLICATION TO REGISTER NAME OF A FOREIGN CORPORATION IN ARIZONA1. The name of the Corporation is_________________________________________. If applicable, the name of the Corporation with an addition required to make the name available for use in Arizona is ______________________________________________.2. The Corporation was incorporated in the State (Province or Country) of ____________________________ on the _____ day of __________________, _____.3. The Corporation is engaged in the following business or nature of activities: ______________________________________________________________________.4. Attached hereto is a certificate of existence or a similar document from the state, province or country of incorporation. 5. The Corporation hereby applies for registration of its corporate name with any addition set forth above from the effective date of this application until the following December 31, in accordance with Arizona Revised Statutes Sections 10-403 & 10-3403.6. This application is accompanied by the application fee of $10.00 (U.S.) made payable to the Arizona Corporation Commission. DATED this _____ day of ___________________, ______. Signed___________________________________________ ____________________________, ______________ [Print Name] [Title] Mailing Address:___________________________________________ ___________________________________________ ___________________________________________ Phone ______________ FAX ___________ [optional] [optional]Deliver or mail with check made payable to: ARIZONA CORPORATION COMMISSION Attn: Name Reservation Section 1300 West Washington OR 400 West Congress Phoenix, Arizona 85007-2929 Tucson, Arizona 85701-1347CF: 0057 Business Corporation Rev: 10/2000