on your decision to become an Independent
Business Associate with NuVerus. Before completing the
Associate application, please review the information below.
Online. Click on the 'Enroll Online Now' button below. Your Associate
Account and Business will be set up immediately. We accept all major
credit cards (Visa / MC / Amex / Discover). You can even enroll with
your checking account using our E-Check system. Your private information
including SSN# and Credit Card information will be immediately encrypted
before being placed in our database. Thus your information is secure.
Fax your Application. If you prefer to fax your application,
download the application to your computer. Then print, complete, and
fax to our Customer Service Department at the fax # on the form. Your
application will be processed in 1 business day.
your Application. If you prefer to mail your application to our
corporate office, download the application to your computer. Then print,
complete, and mail your application to our address on the application.
Your application will be processed within 1 business day of receipt
at our office.
here to download the Associate Application.