Join

Type of Membership Requested: Type of Membership Requested: Full Member: $100.00 - All rights and privileges of membership, including the right to vote and hold office. Partner (Includes 2 Full Memberships) $150.00 - All Rights and privileges of membership for both members, including the right to vote and hold office. Requires business partners name be listed on the membership application and the questions be answered on both persons at the time of application. Associate Member (Out of State Only) $45.00 - All rights and privileges of membership, excluding the right to vote and hold office.

Your Name

Date of Birth

Partner Name

Date of Birth

Company Name

Your Title/Position

Type of business: (i.e. corporation, partnership, LLC)

Year company was started

Company Mailing Address (if different than street address)

Company Street Address

Phone

Fax

Email Address

Website

Types of Service Types of Service Process Server (PS) Court Filing (CF) Court Records Search (CRS) Skip Tracing (ST) Subpoena Preparation (SP) Photocopying (PC) Private Investigations (PI)

What committees would you volunteer to sit on (please check as many as you would like) What committees would you volunteer to sit on (please check as many as you would like) Treasurer Legislation Education Membership Other

For how many years have you been affiliated with the process serving industry?

Have you ever been convicted of a felony? Have you ever been convicted of a felony? Yes No

Message/Additional Information

Check box to indicate your agreement Check box to indicate your agreement I authorize PSACO to investigate the statements made on this application and my qualifications for membership. I understand that membership, if granted, will be in my name and not in the name of any company owned by me or with which I am affiliated. I further understand that my membership cannot be transferred to another person. I agree to abide by the PSACO Bylaws and Code of Ethics and to all amendments thereto.

Check box to indicate your agreement Check box to indicate your agreement I agree to submit to binding arbitration in all disputes with PSACO members involving fees, work performance and professional conduct in accordance with the procedures set forth in the Association's By-Laws. I declare under penalty of perjury that the statements made in this application are true and correct.

Applicant Electronic Signature: Type in full name followed by today's date

Partner Electronic Signature: Type in full name followed by today's date