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My Services Registration

Please complete the following form to register for a My Services account.

*Required items

Registration Details Step 1 of 2

Setup Information
* First Name
* Last Name
* Select Your Gender	Male Female
* Email Address ( this will be your My Services username )
* Choose a Password (at least 6 characters and one non-letter character)
* Confirm Password
* Challenge Question (in case you forget your password)
* Challenge Answer
* Choose Your Role