Missouri Registered Agent Service *FIELDS IN BOLD ARE REQUIREDPrimary Contact InformationThe primary contact is the person we will contact if we have questions about your account or if we receive any documents on behalf of your company. First Name*Last Name*Email*This will be the username you will use to log in to view your account information. Your Phone Number* Add Another Contact Person Secondary Contact Name*Secondary Contact Email Address* Business Details & AddressBusiness Entity Legal Name*This is the full official name under which your company is organized. Doing Business As (dba) NameAlso known as a “fictitious name,” this is the name under which your company does business if not the official name under which it is organized. Most companies do business in their official, legal name and do not have a DBA name. If you are doing business in Missouri using a fictitious name, you must file a MO Form Corp 56 to register that DBA name with the State.Entity Type*Select Business Type...CorporationLLCState of Organization*The state in which your company is officially organized (i.e., where articles of incorporation or organization were originally filed).Select U.S. State...AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingMain Business Phone*Alternate Phone (optional)Fax Number (optional)Main Business Address*Main Business Address Line 2Main Business City*Main Business State/Province*United StatesAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingUnited StatesCanadaAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonCanadaMain Business Postal Code* Please mail my documents to a different address. Mailing Address*Mailing Address Line 2Mailing City*Mailing State/Province*United StatesAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingUnited StatesCanadaAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonCanadaMailing Postal Code* Additional InformationDo You Currently Have a Missouri Registered Agent?*If you currently have a Missouri registered agent, you will need to file a Statement of Change of Registered Agent (MO Corp. 59) with the Missouri Secretary of State. The filing fee is $10. We will send a link to this form when your order has been processed. If you do not currently have a Missouri registered agent, and are new to Missouri, you will need to register your company with the Missouri Secretary of State. We will send a link to the appropriate form when your order has been processed. YesNoOther Instructions (optional) Term of Service, Password & Use AgreementPlease choose the Term of Service, Create a Password, and accept the Use Agreement.Select Term of Service*Missouri Business Services, Inc. currently partners with Paypal to offer our clients the flexibility of multiple payment methods, backed by PayPal's industry leading security and protection. (more info)1 Year ($99)2 Years ($180)3 Years ($240)Select Term of Service*Missouri Business Services, Inc. currently partners with Paypal to offer our clients the flexibility of multiple payment methods, backed by PayPal's industry leading security and protection. (more info)1 Year ($.01)2 Years ($.02)3 Years ($.03)You will be billed $0.00 Create a Password*This will be your MBLC Member Account login password. You can change this password by logging into your MBLC Member Account and clicking on the appropriate link. Enter Password Confirm Password Strength indicator * I have read and accept the Use Agreement. This iframe contains the logic required to handle AJAX powered Gravity Forms.
