Membership Application
Use of Apple Trademarks

Headquarters Location Information

Complete the information for your principal place of business (corporate location)
Company Name Legal* Fields marked with '*' are mandatory
Company Trading Name*
Street Number and Name*
City* State/Territory*
Post Code* Country*
Business Phone*
Business Email Address*
Business Website URL* Please provide a secure (HTTPS) URL

Headquarters Shipping Information (cannot be a P.O.Box)

Copy HQ info
Is this a commercial address?* Yes No
Street Number and Name*
City* State/Territory*
Post Code* Country*

Authorised Business Representative ?

First Name* Last Name*

About Your Business

Business type*
How many years have you been in business?*
What is your registered company number or equivalent?*
What is your current annual business revenue ()?*
Does your business have general liability insurance in the amount of at least one million ?* Yes No
Including yourself, how many employees are in your company?* 1 2 - 5 6 - 20 21 - 25 25 +
Including yourself, how many employees provide services around Apple products?* 1 2 - 5 6 - 20 21 - 25 25 +
Where did you hear about us?*
If you were referred by an ACN member or an Apple employee, please list here

Your Business Focus

What kind of customers is your business focused on serving? ( Select all that apply )
Small Business

Apple Agreements

Do you or your company currently have any Agreements with Apple? ( Select all that apply )
Apple Authorised Reseller
Apple Premium Reseller
Apple Authorised Service Provider (AASP)
Apple Professional Service Provider (PSP)
Apple Developer Program

Business Plan

Please select what type of solutions you provide for our products and platforms: (checkboxes, select all that apply)
Deployment and Management
Development: macOS
Development: iOS and iPad OS
Development: FileMaker
Describe your company.*
Based on your selection(s) under Business Plan, describe an example of where you have provided this service for a customer.*

Describe what prompted you to apply to join the ACN program.*