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User Registration
Email/UserId:*
Please enter valid e-mail address.
Please enter an e-mail address!
First Name:*
First name is required!
Last Name:*
Last name is required!
PhoneNumber:*
Please enter a valid phone number in the format of 999-999-9999!
Please enter a phone number!
Password:*
At least 8 letters/numbers (one upper, one lower, no special characters)
Please enter a password!
Confirm Password:*
At least 8 letters/numbers (one upper, one lower, no special characters)
Please enter a password!
Passwords do not match!
Company Name:*
Company name is required!
Address:*
Address is required!
City:*
City is required!
State:*
Only two letter state abbreviations are allowed!
State is required!
Zip:*
Only five digits, followed by an optional hyphen and four digits are allowed!
Zip Code is required!
ID Numbers:*
Enter the ID numbers (sticker on front of machine) you need access to, separated by commas!