Registration

DEMONSTRATION - NOT AN ACTUAL FORM TAXES.NET Registration Form - Business The purpose of this form is to allow user access to TAXES.NET. This form is submitted to EDIQ, a private organization, not to your state government. Any questions about this form can be directed to: help@taxes.net
1		BUSINESS NAME		1
2		STATE TAX ID NUMBER		2
3a		LOCATION STREET 1		3a
3b		LOCATION STREET 2		3b
3c		LOCATION CITY		3c
3d		LOCATION STATE		3d
3e		LOCATION ZIP CODE		3e
4a		BILLING STREET 1		4a
4b		BILLING STREET 2		4b
4c		BILLING CITY		4c
4d		BILLING STATE		4d
4e		BILLING ZIP CODE		4e
5a		CONTACT FIRST NAME		5a
5b		CONTACT LAST NAME		5b
5c		CONTACT PHONE		5c
5d		CONTACT E-MAIL		5d
6a		PREFERRED FORM OF PAYMENT		6a	Form of Payment Credit Card Electronic Tranfer Check
6b		ACCOUNT NUMBER		6b
6c		BANKING INSTITUTION (Name of bank or credit card)		6c
6d		BANK PHONE NUMBER		6d