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Please complete the form below to register for a JurisPacific Premier Plan multi-user license. Within one business day we will send you a copy of your registration form for your signature. Upon receipt of your signed registration form, we will issue you your registration confirmation number so that you may activate your accounts. JurisPacific Premier Plan PRICE TERM $220.00 per user, per month 1 year JurisPacific is a subscription-based service that is available for use by registered members. Registration requires purchasing a license to use and access the JurisPacific online web application system.     * Indicates a required field.       Contact person: *First: M.I. *Last:       *Name of business or organization:   *Business entity: Specify other: <Please Select> Sole proprietorship Partnership Corporation Limited Liability Partnership Limited Liability Corporation Non-Profit Organization Other (specify)   Mailing address: *Line 1: . Line 2: *City: *State: *Zip code: -     *Business Location:   *Phone: Fax: - - - - Please do not provide pager or automatic voice mail system numbers.       *E-mail:       *Number of licensed users:   *Intended Use : For what purpose do you intend to use JurisPacific?

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