Enrollment Process There are 4 steps involved with the enrollment process. Step 1 - Tell Us About Yourself – the consumer will be asked to provide personal information. Required fields on this page are marked with an asterisk : Full Name (editable field) Street Address, City, State, & Zip Code (editable field) Telephone number (editable field) Email Address (editable field) If the required fields are included on the billing file the information will be prefilled when the consumer validates their account information. Login Activate Payment Account Setup Create Your Account Tell Us About Yourself
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Enrollment Process Tell Us About Payment Account … · Enrollment Process There are 4 steps involved with the enrollment process ... Email Address (editable field) If the required
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Enrollment Process
There are 4 steps involved with the enrollment process.
Step 1 - Tell Us About Yourself – the consumer will be asked to provide personal information. Required fields on
this page are marked with an asterisk :
Full Name (editable field)
Street Address, City, State, & Zip Code (editable field)
Telephone number (editable field)
Email Address (editable field)
If the required fields are included on the billing file the information will be prefilled when the consumer validates
their account information.
Login Activate Payment Account
Setup Create Your
Account Tell Us About
Yourself
Step 1 - Tell Us About Yourself (cont.)
Additional (non required) Fields:
Prefix: Mr., Mrs., Ms., Dr.
First Name
Middle Name
Last Name
Suffix: Jr., II, III, etc.
Cell Phone
E-mail Address (secondary) – all system communication will be sent to both the primary and secondary e-mail
addresses when this field is filled in.
E-mail Address (Alternate) – all system communication will be sent to the all three e-mail addresses provided.
Once all Required Fields are filled in the consumer should use their mouse to click:
Step 2 - Create Your Account – the consumer will be asked to create their user name and password that will be
used to login to the system going forward. They will also be required to answer security questions which will be used
if the consumer needs to request a forgotten password or if privacy sensitive changes are made to the profile (i.e.