AimPortal - Register

Customer

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Register a new user.

User Type

Employee Number

Company Name

Last 4 SSN

Date of Birth

Position

Contact Number

First Name

Last Name

Email

Confirm Email

Password

Confirm Password

Passwords require the following:

At least 6 total characters
At least one lower case character
At least one upper case character
At least one non-alphanumeric character (example: ! # *)
At least one number

City

State

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