Download 11kb - Application Processing Service, Inc 2025

1. Click ‘Get Form’ to open the Membership Application / Service Agreement in the editor.
2. Begin by entering your Company Name and Doing Business As (DBA) in the designated fields.
3. Fill in the Contact Name and Title, followed by your Company Main Phone and Fax numbers.
4. Provide your Physical Address, including Street, City, State, County, and Zip code.
5. If applicable, enter a different Billing Address. Complete the Accounts Payable section with the Person in Charge's name and phone number.
6. Indicate your Nature of Business and Date Established. Answer Yes or No for questions regarding insurance underwriting and licensing.
7. Complete sections for Sole Proprietor or Corporation as necessary, including Owner Names and Federal Tax ID if applicable.
8. Fill out Bank Information and provide three Business References with their contact details.
9. Review all certifications at the end of the form. Ensure you sign and date where indicated before submitting.

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