Directions for completing form below. (*) required field
1. Create Account: * Choose a user name that you can easily remember
2. Create a password: * Create a password between 6 - 10 characters. Make one of the character $%*&# or 1-9
3. Re-type password: * Reenter the password you just entered exactly the same
4. First name: * Enter you first name. Must match name as submitted CPO certification record
5. Last name: * Enter your last name. Must match name as submitted CPO certification record
6. Mailing Address: * Enter mailing address, City, State and Zip Code. Must match record on file.
6. Business Phone: * Enter your phone number in this format xxx-xxx-xxxx
8. Business Fax: This is an optional entry and not required. Enter in this format xxx-xxx-xxxx
9. Cell Phone: This is an optional field and not required. Enter in this format xxx-xxx-xxxx
6. E-mail address: * Enter your e-mail address in the format name@domain.com
6. Enter code: * Type the code exactly as shown in the box to the right of the ‘Captcha’ field.
12. Submit: Click on ‘Submit’ button after entering all required entries. | 
