Wyoming Reinstatement Order Form

REGISTERED AGENT WITH PRIMERA INC.

109 East 17th Street, #25, Cheyenne, Wyoming 82001

______________________________________________________________________________________

REINSTATEMENT ORDER FORM

Name of LLC or Incorporation *

For corporation:

President

For LLC:

If you're using our mail forwarding service, the address of your company is 109 East 17th Street, Suite 25, Cheyenne WY 82001. If you're NOT using the mail forwarding service, please tell us the address of the company to post on public record. *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Phone *

REGISTERED AGENT WITH PRIMERA INC.

REINSTATEMENT ORDER FORM

Fees: