Uptimus Smart Technologies Ltd

Choose the services you need: *

Company Formation Virtual Address Services

Section 1: Select Profile Type *

Are you applying as:

Individual Corporate / Organization

Section 2: Company Formation Details

A. Business Formation Details

Preferred Jurisdiction (Country & State): *

Preferred Business Structure: *

Sole Proprietorship Ltd Corporation Partnership Non-Profit

Proposed Business Name (1st choice): *

Proposed Business Name (2nd choice):

Nature of Business / Industry: *

Intended Start Date: *

B. Shareholder / Ownership Details

Provide details of each owner/shareholder. Click "Add Shareholder" to add more rows.

Full Name:

Nationality:

% Ownership:

Director? (Yes/No):

C. Service Add-ons (Optional)

Request Tax ID Registered Agent Service Business License & Permit Search Corporate Bank Account Setup Assistance

Section 3: Virtual Address Services

A. Address Services Needed *

Virtual Business Address Only Virtual Mailbox (Online Mail Management) Mail Forwarding Service Mailbox Rental (Physical Access)

B. Usage Purpose *

Company Registration Business Correspondence Branding / Website Use Other:

C. Preferred Mail Handling Method *

Scan & Email Forward to Address Hold for Pickup Notify Only

D. Delivery Address for Mail Forwarding (if applicable)

This section is only required if 'Mail Forwarding Service' is selected above.

Section 4: Billing and Payment Details *

Preferred Billing Cycle: *

Monthly Quarterly Yearly

Payment Method: *

Bank Transfer Debit/Credit Card PayPal Cryptocurrency (optional)

Section 5: Declarations & Consent *

Digital Signature: * Typing your full name here serves as your digital signature.

Date: *

Ecorp and Address Service Request Form