Form Mnpca-18 - Acceptance Of Appointment As Registered Agent

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NONPROFIT CORPORA nON
STATE OF MAINE
ACCEPf ANCE OF APPOINTMENT
AS REGISTERED AGENT OF
(name of nonprofit corporation)
Pursuant to 13-8 MRSA §304.3 or §1212.1-A, the undersigned hereby accepts the appointment as registered agent for the above-named
nonprofit corporation.
REGISTERED AGENT
DATED
(signattlre)
(type or print name)
For Registered Agent which is a Corporation
Name of Corporation
By
(tyPe or print name aOO capacity)
(authorized signattlre)
SUBWT COMPLETED FORMS TO: CORPORATE EXAMINING SECnON, SECRETARYOF STATE,
101 STATE HOUSE STAnON, AUGUSTA, ME 04333-0101
FORM NO. MNPCA-18 Rev.7/2000
TEL. (201) 287-4195

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