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                     FOR MSTGS OFFICIAL USE ONLY:     DATE RECEIVED: _ _-_ _-_ _
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MSTG SOLUTIONS                                 RESIDENT AGENT SERVICE ORDER FORM
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          3111 NORTH TUSTIN STREET, SUITE 280, ORANGE, CALIFORNIA 92865
                 Telephone: 714-279-2980 Facsimile: 714-282-0035
               E-Mail: repsupport@mstgs.com Website: www.mstgs.com

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                          REQUIRED CUSTOMER INFORMATION
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Last Name:                    Middle Initial:          First Name:
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Company:                               E-Mail Address:
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Street Address:
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City:                State:       Zip/Postal Code:         Country:
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Telephone No.:               Fax No.:                   Mobile No.:
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            INDEPENDENT REPRESENTATIVE INFORMATION - SERVICE SOLD BY:
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First Name:       Last Name:       Representative I.D. No:     Phone No.:
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                                 SERVICE ORDERED
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_____ CALIFORNIA RESIDENT AGENT SERVICES - $100
          o    Meet the rules and  regulations of  California's  corporation law
               for out-of-state residents
          o    Physical  address for your  business:  3111 N. Tustin St.,  Suite
               280, Orange, CA 92865
          o    Remain anonymous to all physical and mail soliciting
_____ NEVADA RESIDENT AGENT SERVICES - $100
          o    Meet the rules and  regulations of Nevada's  corporation  law for
               out-of-state residents
          o    Corporate  Address for your  business:  3900 Paradise Rd.,  Suite
               120, Las Vegas, NV 89109
          o    Remain anonymous to all physical and mail soliciting

TOTAL AMOUNT TO BE CHARGED:                                $ __ __ __ __ . __ __

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             METHOD OF PAYMENT (PLEASE CHECK THE APPROPRIATE SPACE)
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___ CHECK or MONEY ORDER (please make checks payable to MSTG SOLUTIONS, INC.)
___ CREDIT CARD (please check one)
     ___ VISA
     ___ MASTERCARD
     ___ AMERICAN EXPRESS
     ___ DISCOVER

                             CREDIT CARD INFORMATION
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Credit Card Number:        Expiration Date:    Billing Telephone Number:
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Name on Credit Card:                   Exact Billing Address:
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City:                State:       Zip/Postal Code:         Country:
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                                        I  authorize  MSTG  Solutions,  Inc.  to
                                        charge  my  debit /  credit  card for an
                                        amount no greater than the "Total Amount
                                        to Be Charged" indicated above.


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                                        ACCOUNT HOLDER SIGNATURE
       CREDIT CARD IMPRINT SPACE:
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                    TERMS, CONDITIONS AND CANCELLATION POLICY
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I hereby  accept these terms and  conditions.  All mail received will be held at
the chosen MSTG Solutions, Inc. office until an officer of my company physically
retrieves the mail at an MSTG Solutions, Inc. office to collect it. I understand
that Mail Forwarding is an additional  charge,  if requested.  I understand that
the  service fee is a  non-refundable  yearly  charge,  and  continuance  is not
automatic. MSTG Solutions, Inc. must be notified and receive payment at least 30
days  before  the  contract  elapses  in order to  continue  the  service.  MSTG
Solutions,  Inc.  is not  responsible  for any lost  documents  or  mailings.  I
acknowledge  that by completing  this form, I hereby waive my three-day right of
rescission, if applicable.


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PRINT NAME                    CUSTOMER SIGNATURE                    DATE

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