The undersigned,_________________________________________________________
(Full name, Nationality, Passport and/or Identification Card No., Domicile in country of origin), hereby instruct you to incorporate a Panamanian corporation named:
(Submit at least three names, to check availability at the Public Registry)
___________________________________________________________________________

_______________________________________________________, and make the following statements regarding such corporation:

1. The main objective of this corporation will be:______________________________________.

2.  This corporation will operate in __________________________ (country where it operates).

3.  This corporation will have a capital of US$__________________, divided in ____________ (amount) of stocks: (i) with face value_____; (ii) without face value _____ (appoint the value of each share), (iii) nominative _______; (iv) bearer ______ (Please mark with and x your selection).

4.    The Directors and Officers of this corporation will be the following persons:

PRESIDENT______________________________________________________

SECRETARY______________________________________________________

TREASURER______________________________________________________
(Full name, Nationality, Passport and/or Identification Card No., Domicile in country of origin)

5. We declare under oath and with full knowledge of the penalties established in Article 355 of the Penal Code of Panama, that the corporation will engage in legal activities in whichever places it may operate and that we release you of all responsibility in the event its shareholders, appointed directors, administrative officers or persons interested and related to this corporation carry out either by act, omission or inaction, minutes or business, transactions contrary to the law, either national or foreign.

6. We irrevocably authorize you to show this request to banking, administrative or judicial officers, in the event that due to whatsoever investigation being held, upon your exclusive judgment, deem it should be produced as a proof of the identity and the legal objectives of the corporation.

7. We declare under oath and with full knowledge of the penalties determined by the Penal Code, that neither this corporation, nor the applicants, directors, assignees, officers or persons involved directly or indirectly engage or have engaged in money laundering activities, in the traffic of drug and psichotropical substances nor in whatsoever other illegal activities.

8. Arbitration - Any conflict arising from this contract should be submitted to arbitration by the parties, in accordance with the rules of the Panamanian Chamber of Commerce and the laws of the Republic of Panama.

9. I was referred to you by:____________________________________________.

Signed this ____ day of ______, 200__ by: (name and signature of final beneficiaries of
the corporation)

____________________________        ___________________________  

____________________________        ___________________________

Instructions: Sign the document and send it by fax to the number (507) 236-4831.
Enclosed:

• Photocopy of Passport/and driver’s license of each one of the interested parties;
• if different form the above, copy of the I.D. document and passport of each one of the directors of the corporation (President, Secretary and Treasurer).