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Invoice Request
Request for Billing / Invoice
Request For
*
New Application
Renewal of Membership
Additional Numbers
Company Transfer
Change Name
Reactivation
Company / Person
*
Address
*
Attn. To
*
Nature of Constitution
*
Sole-Proprietor
Partnership
Limited Company
Government/Statutory Body
Additional Information
Membership Category
*
- Select -
Standard Membership (up to 1000 Numbers)
Small Block Membership (1 to 10 Numbers)
Latest Annual Return (LAR) or Form 24
*
Latest Form 24 or Latest Form of Annual Returns. If your company is incorporated less than 18 months, Form 24 is sufficient. **Annual Report for Government / Statutory Body.
Files must be less than
4 MB
.
Allowed file types:
gif jpg jpeg png pdf doc docx xls xlsx zip
.
Existing Company Prefix
*
Existing Company Prefix
*
Additonal Block Requested
*
- Select -
Standard Block
Small Block
Transfer From
*
Transfer To
*
Name Change To
*
Email
*
* Please provide your email address to ensure the invoice can be directly email to you.
Telephone
*
Fax
Remarks