BizLauncher Global Plus Application PortalBizLauncher Global Step 1 of 20%PRIMARY EMAIL INFORMATIONEmail* BizLauncher Global Price Price: $499.00 Name* What is your first name? What is your last name? What is the proposed name of the business that you wish to be incorporated through BizLauncher Global?*Please provide your telephone number*Do you have an existing business operational for which you’re now trying to create a US-based holding company or subsidiary?YesNoWhat will be your role in this business you are seeking to start in the US?* Shareholder/Owner Company Officer (CEO, CFO, etc) DirectorSelect all the roles that are applicableWill your company's operations be in any of the countries listed below?*-Select-Not ApplicableAfghanistanCentral African RepublicDR CongoCubaEritreaIranIraqLibyaMyanmarNorth KoreaRussiaSomaliaSouth SudanSudanSyriaUkraineVenezuelaYemenZimbabweSelect the country your company will have operations in. If you don't see your country there - select Not Applicable.Thanks for your interest in BizLauncher Global to incorporate your company and get business banking set up in the US.Unfortunately, because of government-related restrictions and guidelines from our financial partners, BizLauncher Global is currently unavailable for businesses with the details you have provided.If this restriction changes, we will be sure to let you know!Not ApplicableDo you already have a web presence for the business? If yes, what is your company's web address?What sector will your company be operating in?*Financial ServicesHospitalityTechnologyAutomobileHealthManufacturingConstructionFood ServicesPlease describe in detail exactly what your company will do.*How do you plan on accepting payments for your services with the US-based entity you are seeking to start?* Credit Cards PayPal ACH International Wire Transfers CashWill your company be involved in any of the following activities?*YesNoPseudo Pharmaceuticals, Virtual Currency, Money Services, Gambling, Adult Services & Content, Multi-Level Marketing, Get Rich Quick SchemesThanks for your interest in BizLauncher Global to incorporate your company and get business banking set up in the US.Unfortunately, because of government-related restrictions and guidelines from our financial partners, BizLauncher Global is currently unavailable for businesses with operations in the business activities you have selected.If this restriction changes, we will be sure to let you know!SectionPlease select your country of residence and where your company will be operating from the list below.*-Select-AlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamas, The BahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCabo VerdeChadChileChinaColombiaComorosCongo, Republic of the Costa RicaCote d'IvoireCroatiaCuracaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEast Timor (see Timor-Leste)EcuadorEgyptEl SalvadorEquatorial GuineaEstoniaEthiopiaFijiFinlandFranceGabonGambia, The GeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKoreaNorth KoreaSouth KosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSouth AfricaSouth KoreaSpainSri LankaSurinameSwazilandSwedenSwitzerlandTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVietnamZambiaYou can search by typing in the first few letters of your country's nameThank you! Please provide us with your addressPlease upload a copy of the following documents for yourself and the other proposed officers of your company*- Passport - Drivers License - National IDPaymentCardBank DepositPay now via Credit CardAmerican ExpressDiscoverMasterCardVisaMaestro Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name Payment details: Bank Name: Bank of America Address: 1818 Market Street, Philadelphia PA, USA Routing Number: 026009593 Bank Telephone #: (215) 972-7072 For further credit to: Account Name: Bizlauncher Incorporated Account Number: 3830 1514 8276 Address: 30 South 15th Street, Philadelphia, Pennsylvania, 19102 USA Account Type: Business Checking Telephone: 646-600-8977 This iframe contains the logic required to handle Ajax powered Gravity Forms.