Business Information

Business Name*

Address*

City/Province*

Postal Code*

Phone*

Fax

Email Address*

Business Structure

If subsidiary:

Contacts:

Primary - Name*

Position*

Email Address*

Phone*


Secondary - Name

Position

Email Address

Phone

What services will you be requesting from our office: (please check all that apply)

Motor VehiclePersonal PropertyCorporate RegistryVital StatisticsLand Title

I have read the "Account Terms and Conditions" and agree by clicking "Submit"

Dear Sir or Madam,

As an agent of the Alberta Government, Cochrane Registries can offer several services that you may require in order for your own business to operate.
We offer services through the following different registries:

  • Personal Property Registry
  • Corporate Registry
  • Motor Vehicle Registry
  • Land Title Registry
  • Vital Statistics Registry

Our staff offer friendly and efficient service so your services get processed quickly which allows you to continue with your day. Depending on the service, we can offer completion of services by fax or email, so we can have it processed without you having to leave your office!

Together we can work towards helping your business run more efficiently by offering a way for you to get the services you need accomplished quickly and professionally leaving you with more time to focus on the things that are important to you.

Warmest regards,
Cochrane Registries


Account Terms and Conditions

You are required to pay your monthly Statement of Account in full within 29 days of the statement date.  After 30 days a 3% interest charge will be applied to your account and continually per month until the amount due is paid.  A $50.00 reinstatement fee will be applied if the account remains outstanding for 90 days. Suspension of the account privileges will also occur at this time.

Clients whose accounts will be accumulating less than $100/a month in services will be required to have a deposit account set up with a minimum $100 available to apply to their account when statements become due.  Once the amount of this account reaches $30 or less you will be required to replenish the account back to the minimum amount.  Failure may result in inability to process services.

Services may be requested in person, by fax or email.  Please be sure all request forms are clear, precise and legible as we are not responsible for any service errors due to unclear requests.

By submitting this application, I certify that the information contained in my application is true and correct.  I am the person named in the application as the primary contact for the company and as such, I am authorized to submit this application on behalf of the company.  Finally, I/we agree to the above conditions of service and terms of payment when I hit submit.