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Payee Registration
General Information
business_name
Payee Type
Vendor
Agency
Named Insured
Vendor Type
Other
Body Shop
Doctor
Lawyer
Mechanic
first_name
last_name
tin
Tin Type
Business
Individual
Contact Information
address1
address2
city
State
Country
USA
Canada
Mexico
Bahamas
Cuba
Colombia
Venezuela
Guyana
zip_code
phone
Credentials
email
username
password
confirmPassword
Confirm Detail
Confirm Detail
Click on the Finish button below to complete the registration process.