Form Bcs/cd-901 - Mich-Elf Application - 2004

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BCS/CD-901 (Rev. 8/04)
MICHIGAN DEPARTMENT OF LABOR & ECONOMIC GROWTH
BUREAU OF COMMERCIAL SERVICES
CORPORATION DIVISION
P.O. Box 30054
Lansing, MI 48909-7554
(517) 241-6470
MICH-ELF APPLICATION
Authorized pursuant to P.A. 284 of 1972, as amended
Complete this form to participate in the Mich-ELF filing program.
New Application
Update
MICH-ELF Filer Number
Applicant
Phone Number
Fax Number Required
Street Address
City
State
Zip Code
Credit Card (Check One)
VISA
VISA ELECTRON
MASTERCARD
(DEBIT Cards are not accepted)
The credit card will be charged for
Card Number
filing or copy fees on documents
Expiration Date
submitted for filing through the
electronic filing system.
Card Issued to
(Name of Person)
City
State
Zip Code
Cardholders Billing Street Address
Contact Person
Phone Number
Fax completed form to: (517) 636-6437
The Department of Labor and Economic Growth will not discriminate against any individual or group because of race, sex, religion, age, national origin,
color, marital status, disability or political beliefs. If you need help with reading, writing, hearing, etc., under the Americans with Disabilities Act, you may
make your needs known to this agency.

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