DJP Corporate Services Registration Form

* Company Name
	Select to add multiple companies

Please check one of the following pacakages:
*See Pricing page for details

Bronze Level ($175): Act as Registered Agent File Annual Report	Gold Level ($600): Act as Registered Agent File Annual Report Documentation of Annual Meeting Attendance at Annual Meeting
Silver Level ($350): Act as Registered Agent File Annual Report Documentation of Annual Meeting	Platinum Level ($1,000): Act as Registered Agent File Annual Report Documentation of Annual Meeting Attendance at Annual Meeting Annual Company Check-up

Please check any of the following optional separate services:
*See Pricing page for details

Documentation of Annual Meeting ($250)
(included in the Silver Level and above levels)

Annual Company Check-up ($700)
(included in the Platinum Level)

Payment Information

Payment for DJP Corporate Services can be made by credit card or check. Registration is not complete until payment has been received. To finalize registration and provide your payment information, please call our Corporate Services Coordinator, Rebecca Maxfield, at 801.297.1165.

By checking the agree box below, I hereby authorize DJP Corporate Services to:

Automatically charge credit card listed above annually unless I give notice in writing or by email of changes or withdrawal to DJP 60 days in advance of company annual renewal date
Have Power of Attorney to receive documentation and to act on behalf of Company regarding annual renewal with the state
Deal directly with the Utah Division of Corporations on behalf of Company
Sign annual report form at filing
Render services provided unless I give notice in writing or by email of changes or withdrawal 60 days in advance of company annual renewal date

Agree

* Indicates Required Field