Panamanian Trusts Order Form

SHIP & YACHT REGISTRATIONS

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Items of Interest:

General Information

Please print, complete, and sign this order form. Mail it to:

Global Money Consultants
POB 25221
1307 Nicosia Cyprus

If you are paying by credit card (Amex, Visa, Master or Diners), you may submit this application electronically or fax it to +357-22-593153.

First Name	Last Name
My choice for my Trust's name is (Please indicate three (3) choices in case your first choice is not available):
1. 2. 3.
Beneficiaries (Please indicate Beneficiary/Beneficiaries or if you would like your Beneficiary to be the "BEARER" or an Offshore Corporation.)
1. 2. 3.
Please send documents to:

Street Address

City	State	Zip

Country

Phone (Home)	Phone (Business)

Fax	Email Address

Date	Signature