A-Plus Registry - NUANS Service Form

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* This information is Required and must be
Filled in Correctly to ensure response!

Date of Request:

Your File Number

Name of Company
(for which services are required)

1st Proposed Choice

2nd Proposed Choice

3rd Proposed Choice

Your Name:

Email:

Data of Birth (MM/DD/YY):

Address:

Telephone:

(Res)

(Bus)

(Fax)

Payment Options:
Please select which payment option you would like:

1) Visa

Card Number    Expiry (01/12)

Security Code:     Name of Card Holder

2) MasterCard

Card Number    Expiry (01/12)

Security Code:     Name of Card Holder

3) PayPal Invoice
- Payment of the invoice can be made by credit card or with your PayPal account

An Invoice will follw your order

4) Interac® Email Money Transfer
- Interac Email Money Transfers work without the need to know your recipient's banking information because the money is transferred by your financial institution to the recipient's financial institution, through online banking and the interac network.
- A security question and answer help to ensure that the money is deposited by the intended recipient.
- The Interac Email Money Transfer service relies on several security measures, such as encryption technology, confidential user IDs and passwords and the secure login process of online banking.

To Email money transfer to Aplus Registry, login in to your online banking, email money transfer to payment@aplusregistry.com. You will need to send in a separate email the password you used for the transfer to be completed.

Please Note: If you are already incorporated in any other Province or State (other than Alberta), please call us at:
(403) 288-3333 or Click Here.

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NUANS® SERVICE FORM