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Step 1 of 5: Contact Information
Admin Contact Information
Company Information
Remitter Type
Membership Agreement
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This wizard walks you through registering as a new organization. Please provide the Admin Contact Information for your organization. The Admin Contact has authorization to make changes to your account profile information.
Admin Contact
I am continuing an existing application
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First Name
*
Last Name
*
Title
*
Phone Number:
*
Email Address:
*
Confirm Email Address:
*
User Name:
*
Password:
*
Confirm Password:
*
I Confirm that I am authorized to register for LightRecycle Washington on behalf of this company
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