Form: Company Information

Form: Provide New/Update Existing Company Information

Are you providing new company information or updating existing company information for our records?

New Company Information

Updating Existing Company Information

1. FOREIGN COMPANY INFORMATION (NON-U.S.)

Legal Name of Foreign Company

Physical Address of Foreign Company (Non-U.S.)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Is the mailing address of the Foreign Company DIFFERENT than the physical address?

Yes (the mailing address is different than the physical address)

No (the mailing and physical addresses are the same)

Mailing Address of Foreign Company (Non-U.S.)(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Main Contact Name at Foreign Company

List ALL Telephone Numbers for the Foreign Company(Required)

Main Business Phone Number for Foreign Company

Fax Number for Foreign Company

Other Phone Number for Foreign Company

Country Prefix (Business)(Required)

Business Phone Number(Required)

Foreign Company Main Business Phone

Country Prefix (Fax)(Required)

Fax Number(Required)

Foreign Company's Fax Number

Country Prefix (Other)(Required)

Other Phone Number(Required)

Foreign Company Other Phone Number

Website of the Foreign Company

2. U.S. COMPANY INFORMATION (IF AVAILABLE)

Legal U.S. Company Name

Physical Address of the U.S. Company

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Is the mailing address of the U.S. Company DIFFERENT than the physical address?

Yes (the mailing address is different than the physical address)

No (the mailing and physical addresses are the same)

Mailing Address of U.S. Company(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

List ALL Telephone Numbers for the U.S. Company(Required)

Main Business Phone Number for U.S. Company

Fax Number for U.S. Company

Other Phone Number for U.S. Company

Country Prefix (Business)(Required)

Business Phone Number(Required)

U.S. Company Main Business Phone

Country Prefix (Fax)(Required)

Fax Number(Required)

U.S. Company's Fax Number

Country Prefix (Other)(Required)

Other Phone Number(Required)

U.S. Company Other Phone Number

3. MAIN CONTACT

Main Contact Name(Required)

Prefix First Last Company Title

Main Contact Email(Required)

Enter Email Confirm Email

List ALL Telephone Numbers for the Main Company Contact(Required)

Mobile Phone Number

Direct Business Phone Number

Home Phone Number

Country Prefix (Mobile)(Required)

Mobile Phone Number(Required)

Main Contact Mobile Phone Number

Country Prefix (Business)(Required)

Direct Business Phone Number(Required)

Main Contact Business Phone Number

Country Prefix (Home)(Required)

Home Phone Number(Required)

Main Contact Home Phone Number

4. ADDITIONAL CONTACTS

How many additional company contacts would you like to add?

N/A

1. Additional Contact Name(Required)

Prefix First Last Company Title

1. Additional Contact Email(Required)

Enter Email Confirm Email

1. List ALL Telephone Numbers for the Additional Company Contact(Required)

Mobile Phone Number

Direct Business Phone Number

Home Phone Number

1. Country Prefix (Mobile)(Required)

1. Mobile Phone Number(Required)

Additional Contact Mobile Phone Number

1. Country Prefix (Business)(Required)

1. Direct Business Phone Number(Required)

Additional Contact Business Phone Number

1. Country Prefix (Home)(Required)

1. Home Phone Number(Required)

Additional Contact Home Phone Number

2. Additional Contact Name(Required)

Prefix First Last Company Title

2. Additional Contact Email(Required)

Enter Email Confirm Email

2. List ALL Telephone Numbers for the Additional Company Contact(Required)

Mobile Phone Number

Direct Business Phone Number

Home Phone Number

2. Country Prefix (Mobile)(Required)

2. Mobile Phone Number(Required)

Additional Contact Mobile Phone Number

2. Country Prefix (Business)(Required)

2. Direct Business Phone Number(Required)

Additional Contact Business Phone Number

2. Country Prefix (Home)(Required)

2. Home Phone Number(Required)

Additional Contact Home Phone Number

3. Additional Contact Name(Required)

Prefix First Last Company Title

3. Additional Contact Email(Required)

Enter Email Confirm Email

3. List ALL Telephone Numbers for the Additional Company Contact(Required)

Mobile Phone Number

Direct Business Phone Number

Home Phone Number

3. Country Prefix (Mobile)(Required)

3. Mobile Phone Number(Required)

Additional Contact Mobile Phone Number

3. Country Prefix (Business)(Required)

3. Direct Business Phone Number(Required)

Additional Contact Business Phone Number

3. Country Prefix (Home)(Required)

3. Home Phone Number(Required)

Additional Contact Home Phone Number

5. IMPORTANT TO WHOM SHOULD INVOICES AND SCANNED MAIL BE SENT?

e.g. Accounts Payable / Billing Department, CEO, CFO, or anyone who should receive invoices from BridgehouseLaw LLP

Company Name that should be shown on all invoices?(Required)

U.S. Company Name (as shown above)

Foreign Company Name (as shown above)

Other

Company Name or Individual to be listed on Invoice(Required)

Select what contact should receive(Required)

Invoices Only

Scanned Mail Only (For Corporate Hosting)

Both Invoices AND Scanned Mail

Contact(Required)

Prefix First Last

Email(Required)

Enter Email Confirm Email

Do you need to add additional contacts that should receive invoices and/or scanned mail?(Required)

Add 1 Additional Contact

Add 2 Additional Contacts

Add 3 Additional Contacts

1. Select what contact should receive(Required)

Invoices Only

Scanned Mail Only

Both Invoices AND Scanned Mail

1. Contact(Required)

Prefix First Last

1. Email(Required)

Enter Email Confirm Email

2. Select what contact should receive(Required)

Invoices Only

Scanned Mail Only

Both Invoices AND Scanned Mail

2. Contact(Required)

Prefix First Last

2. Email(Required)

Enter Email Confirm Email

3. Select what contact should receive(Required)

Invoices Only

Scanned Mail Only

Both Invoices AND Scanned Mail

3. Contact(Required)

Prefix First Last

3. Email(Required)

Enter Email Confirm Email

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