(866) 375-9875 | Monday – Friday 9am – 5pm (PST)

File Your DBA

Business Information

Business Structure*

Desired DBA Name*

Alternate Choice

Your Contact Information

First Name*

Last Name*

Phone Number*

Email Address*

Address*

City*

State*

Zip Code*

Country*

Owner Information

Full Name*

Address*

City*

State*

Zip Code*

Country*

Title / Role*

Additional Information

Notes

Create Online Account

Username*

Password*

Confirm Password*

Authorization

By submitting this form and creating an account with Prime Registered Agent, I confirm that I am authorized to act on behalf of the business entity listed above.

I acknowledge that by creating an account, I agree to receive communications electronically and understand that use of this service is subject to the Terms of Service and Privacy Policy of Prime Registered Agent. I affirm that all information provided is accurate.

Order Summary

$249.00

Agreement & Authorization*

I agree to the terms above and authorize Prime Registered Agent to proceed with filing my DBA.

Only fill in if you are not human