Northwest Registered Agent Application Form

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Northwest Registered Agent Sign Up Form

This sign up form is for our records only. All information provided is kept strictly confidential, and not given to any State agencies. All information given during the payment process is encrypted and very secure. We do not store your credit card info.
Upon payment, you'll immediately receive our local address information, the forms you need to file with the State, and tips for filing in the State(s) you checked.
Thank you for trusting us as your registered agent!


1-3	$125
4-9	$115
10-51	$100

Already have an account with us? Login here to add a state.

1: Choose State

Please choose the State(s) you need registered agent service for. After the purchase is completed, all the forms to file, filing instructions, and our registered agent name and address will be shown immediately to you in your online account and emailed as a backup. Multiple State discounts will be calculated immediately.

All States	Idaho	Missouri	Pennsylvania
Alabama	Illinois	Montana	Rhode Island
Alaska	Indiana	Nebraska	South Carolina
Arizona	Iowa	Nevada	South Dakota
Arkansas	Kansas	New Hampshire	Tennessee
California	Kentucky	New Jersey	Texas
Colorado	Louisiana	New Mexico	Utah
Connecticut	Maine	New York	Vermont
Delaware	Maryland	North Carolina	Virginia
District of Columbia	Massachusetts	North Dakota	Washington
Florida	Michigan	Ohio	West Virginia
Georgia	Minnesota	Oklahoma	Wisconsin
Hawaii	Mississippi	Oregon	Wyoming

2: Name, Phone and Email Address

2. Business Name

This should be your legal business name.

Please put your legal name exactly. If there are commas, please put commas, if there are no commas, please leave them off. Your name could be ABC Dishwashers INC or A.B.C. Dishwashers, INC. Or ABC Dishwashers, Incorporated. The more accurate info you give us, the better our database will work for you. If you put in a name that doesn't get accepted with the state, it's super easy for us to change your legal name later. Just email us if this occurs.

If you have a doing business name of "DEF Plumbing" in addition to your legal name, "ABC Plumbing Inc.", we would need you to list the doing business name "DEF Plumbing" in the special instructions area.

3. Contact Name

The contact name is the name of the person you would like us to call if we have questions about your order.

4. Phone Number

If you are doing this filing on behalf of your client and don't want us to call you a year from now if we have a question, you can put your client's info here and just leave a note as to who it is for. If you are doing the filing yourself, this could be your cell phone or another number of someone within your organization.

If you have a foreign phone number, check the foreign phone number box and you will be able to enter a phone number in an international format.

7. Email

Please make sure to add our email addresses to your safe sender's list. You'll get all our important emails on the thank-you page after you finish the signup.

The email you give us here is the email address that you'll use to log into your account immediately. After you finish the signup process, this is the email that you'll immediately get a receipt and our thank-you email with our registered agent information sent to. You'll also be able to log into your account and see the registered agent information right after you finish the purchase. We will correspond with you via the email address you provide here.

2. Business Entity Legal Name * (do not list your dba here. put the dba in special instructions)
3. Contact Name *	First NameLast Name
4. Phone Number * Foreign Phone Number?	xxx-xxx-xxxx
5. Fax Number
6. Alternative Phone Number
7. Email * (Main account email)
**Confirm Email	*
8. Secondary Email
9. Entity Type	*

3: Business Address and Contact Information

10. Mailing Address *

Address

City

State

Zip Code

Country

4: Registered Agent Options

11. Would you like your attorney notified
at the same time we notify you of a law suit? *

Yes

No

*

12. Special Instructions

13.Changing Registered Agent? *

Yes

No

*

14.Registered Agent Service *

		1 Year
		2 Years (3% Additional Discount)
		3 Years (5% Additional Discount)

5: Shopping Cart

15.Special Add-ons:

6: Service Agreement and Account Password

I have read and accept the Service Agreement

Please choose a password for your online account.

Password: **Confirm Password

Use Contact's Name and Mailing Address

First Name:
Last Name:
Company:
Card Type:
Card Number:
CCV Code:
Expiration Date:
Credit card billing address information: NOTE: If you have a non U.S. address or U.S. Military APO/FPO (Army Post office or Fleet Post Office) address, choose the country or U.S. Military APO/FPO address in the country field (list of countries), then fill in at least the address and city fields. You do not have to select a state or fill in a zip code.
Street:
City:
State:
Country:
Zip:

Total $ :
After submitting, you will be logged into your online account, where you will have everything you need immediately.