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Payee Registration
General Information
Business name
Payee Type
Vendor
Agency
Named Insured
Vendor Type
Other
Body Shop
Doctor
Lawyer
Mechanic
Firstname
Lastname
tin
Tin Type
Business
Individual
Contact Information
Address 1
Address 2
City
State
Country
USA
Canada
Mexico
Bahamas
Cuba
Colombia
Venezuela
Guyana
Zip Code
Phone
Credentials
Email
Username
Password
Confirm Password
Confirm Detail
Confirm Detail
Click on the Finish button below to complete the registration process.