Northwest Registered Agent Application Form

Northwest Registered Agent Sign up Form

THIS FORM IS ONE PAGE! THAT'S IT! We hate websites where you have to fill out one page, then another, and then another.

1-3 States : $125.00 a year per state
4-9 States : $115.00 a year per state
10-51 States : $100.00 a year per state

This sign up form is for our records only. All information provided is kept strictly confidential, and not given to any State agencies.

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.

You will also receive a sales receipt for your purchase, and as a backup, an email of the state information you receive immediately after purchase. The main email you give us will be the main email for your online account login.

After hitting submit at the bottom, it will take you to our payment gateway: eprocessing network, LLC. eProcessing Network, LLC is not our company. It is purely a credit card company we hire to accept your payments on our behalf. All information given during the payment process is encrypted and very secure. We do not store your credit card info.

We will keep an eye out for your filing at the state, and email you when we see your filing go through.

Thank you for trusting us as your registered agent!

All information is for our private records. NOT PUBLIC.

1. Choose State and View Prices: * 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, shown in your online account and emailed as a backup. If you choose multiple States, your discount will be calculated immediately.
All State	Alabama	Alaska	Arizona
Arkansas	California	Colorado	Connecticut
Delaware	District of Columbia	Georgia	Florida
Hawaii	Idaho	Illinois	Indiana
Iowa	Kansas	Kentucky	Louisiana
Maine	Maryland	Massachusetts	Michigan
Minnesota	Mississippi	Missouri	Montana
Nebraska	Nevada	New Hampshire	New Jersey
New Mexico	New York	North Carolina	North Dakota
Ohio	Oklahoma	Oregon	Pennsylvania
Rhode Island	South Carolina	South Dakota	Tennessee
Texas	Utah	Vermont	Virginia
Washington	West Virginia	Wisconsin	Wyoming

Business Entity Name *

This should be your legal name. Not your "doing business as" name. Let's say you have a doing business name of "DEF Plumbing" in addition to your legal name, "ABC Plumbing Inc.". We would need you to list your name as "ABC Plumbing Inc., doing business as DEF Plumbing".

3. Are you forming a new company or are you registering an out of state company?: *

New Company: Out of State Company:

Contact Name & Title *

This is the name and title of the person you would like us to call if we have questions about your order.

Phone Number *

The phone number you would like to us to have about this order.

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 would like us to have two phone numbers to call you at.

*
xxx-xxx-xxxx

6. Fax Number

7. Alternative Phone Number

Email *

This is very important. Please make sure to add our email addresses to your provider. You'll get all our important emails on the thank-you page after you finish the signup (we don't put them here to avoid a spammer being able to see them).

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. This is the main email we will correspond with you at.

**Confirm Email

Secondary Email

This would be a second email you might have, or someone else in your organization or family. We can send important notifications of documents we receive to this email at the same time as the main one.

10. Entity Type

11.

Principal Address for Business *

This is your main physical address. If you are doing this filing on behalf of your client and want everything to go to you, you can put your address here. If you are doing this as a one-time service for your client, and after you register them you would like everything to go to them, you can put their address here.

Address

City

State

Zip Code

Country

12.

Mailing Address

This is your mailing address if it's different from the physical address. If you are doing this filing on behalf of your client and want everything to go to you, you can put your address here. If you are doing this as a one-time service for your client, and after you register them, you would like everything to go to them, you can put their address here.

Address

City

State

Zip Code

Country

13.

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

If you have an attorney you would like notified when you receive a law suit, we will only email the attorney listed here if it's an actual law suit. We won't bother them with regular mail we receive.

You will also get an email asking you to access a full scan of the lawsuit. You and your attorney can literally download an entire service of process within minutes of a process server walking into our local office. Furthermore, you and your attorney could access 50 different law suits, if you got served 50 times in 50 different States, within minutes of our receipt at any local State office. Impressive?? I think so.

Yes

If yes: Attorneys email address:

14. Special Instructions

15.

Changing Registered Agent? *

If you're changing your registered agent to us, all the forms are pre-signed (if they need to be) and ready for you to complete and sign imediately after you pay. If you need help with the change of agent filing or would like us to do it for you, we will gladly assist! Thank you for changing! We think you'll be happy with our level of service.

Yes

16.

Registered Agent Service *

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

Shopping Cart:

17. If you have a specific need or additional filing we have talked about over the phone or email, and need to pay a little more, you can add the dollar amount we have talked about here. Special Add-ons:
18. Corporate Book and Seal ($90.00):

I have read and accept the Service Agreement

Please choose a password to use to login to your notification account.

Password: **Confirm Password

Total $ :

OUR legal name and address for the state(s) you choose will be shown and emailed to you immediately after purchase.