If you are re-registering your existing account please enter your Affiliate Code here:

* indicates a required field.

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Username & Password

Username: Password: Confirm Password:

You will use this user name to log in to our site (6 to 25 characters, no spaces or special characters). Must be between 4 and 20 characters long and contain a number and a letter. Strong passwords using a mix of upper and lower case characters are more secure. You should not use spaces or special characters.

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Company & Primary Contact Information

First Name:* Last Name:* Phone:*  -  -  Ext Fax:  -  - Email:*

Company Name:* What is your business tax classfication?* Please Choose Sole Proprietor LLC LLP S-Corp C-Corp What is your social security number (individual) or federal tax ID (corporation)?*

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Shipping Address

Same as mailing address Pay To Address

Address Line 1:* Address Line 2: City:* State:* Please Select Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Zip Code:*

Payee Name:* Address Line 1:* Address Line 2: City:* *State: Please Select Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Zip Code:*

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Important Information

Please complete the questions to the best of your ability.

How did you hear about our program?*
Please Choose The Sleeter Group Checksforless.com Referral

Do you currently use EiPrinting as the printer for your banking products? YesNo

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