New Client Registration Form
Name
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Name
Name
Name
Email Address (This will be your username)
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Password
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Eight characters minimum
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One lowercase letter
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One uppercase letter
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One number
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One special character
Confirm Password
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What type of certificate do you have?
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Please select an option
Location Compliance Certificate
Stationary Container System Compliance Certificate
How many sites do you manage?
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1
More than 1
We will contact you upon approval to confirm further details for your other sites
Please enter the legal business name for your site.
SITE 1
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Please enter the full site address
Site 1 Address
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Site 1 Address
Site 1 Address
Site 1 Address
City
City
State/Province
State/Province
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