AACPS - Membership Application
Membership Dues - Check One (Must be PAID in order to active membership):
[_] One Year Membership (Initial application): $75.00
[_] One Year Membership (Renewal application): $75.00
[_] Current Member (Change of information): $0.00
Your Name: _____________________________________________________
Firm Name: _____________________________________________________
Your Position: ________________________________________________
Street Address: ________________________________________________
City, State, Zip: ________________________________________________
INSTRUCTION: [x] Use the Checkboxes to indicate to list it on your directory listing on the website.
CONTACT INFO - For the Member Public Directory:
[_] Same as above.
[_] Telephone: ________________________
[_] Toll Free: ________________________
[_] Fax: ________________________
[_] Cell/Other: ________________________
[_] Website: ________________________
[_] E-mail: ________________________
[_] PS Process Service,
[_] CF Court Filings,
[_] CR Courier Service,
[_] CRS Court Record Searches,
[_] DF Difficult and/or Remote hard to access location,
[_] PI Private Investigations,
[_] ST Skip Trace,
[_] Other: ________________________________________________
Counties Served: Check all counties that you will go to for hire.
[_] APACHE COUNTY,
[_] COCHISE COUNTY,
[_] COCONINO COUNTY,
[_] GILA COUNTY,
[_] GRAHAM COUNTY,
[_] GREENLEE COUNTY,
[_] LA PAZ COUNTY,
[_] MARICOPA COUNTY,
[_] MOHAVE COUNTY,
[_] NAVAJO COUNTY,
[_] PIMA COUNTY,
[_] PINAL COUNTY,
[_] SANTA CRUZ COUNTY,
[_] YAVAPAI COUNTY,
[_] YUMA COUNTY.
Cert Id No.: _________________________
[_] Certification in good standing,
[_] Suspended (please attach details on separate sheets),
Has your authority to serve process ever been suspended or revoked?
[_] YES [_] NO
Have you ever been convicted of a felony?
[_] YES [_] NO
Date of First Certification: ____________________
______ I authorize the Arizona Association of Certified Process Servers, Inc. (AACPS) 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 authorize publication of my information in the AACPS Directory.
______ I further understand that my membership cannot be transferred to another person.
______ I agree to abide by the AACPS Bylaws and Code of Conduct and Ethics and to all amendments thereto. I agree to submit to binding arbitration in all disputes with AACPS members involving fees, work performance and professional conducting accordance with the procedures set forth in the AACPS Bylaws.
I DECLARE THAT THE STATEMENTS MADE IN THIS APPLICATION ARE TRUE AND CORRECT.
Signature of Applicant: ____________________________________
If membership with Arizona Association of Certified Process Servers is granted, your Invoice will be e-mail for membership dues in approximately two weeks.
Upon payment in full; your receipt will server as Your Certificate of Membership will be sent to you via e-mail.
or Mail to:
ARIZONA ASSOCIATION OF CERTIFIED PROCESS SERVERS, L.L.C.
ATTN: LAMAN LAW OFFICE, P.L.L.C.
668 N 44TH STREET, SUITE 300
PHOENIX, ARIZONA 85008
If you chose to mail in your application, please allow 30 days for invoice to be sent via e-mail back.
AACPS - MEMBERSHIP APPLICATION FORM: 2017B