Complete Addition Form and Click "Request Account" Button Below Form

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this must be your full name, at least first and last in fml order
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MUST be able to receive email at this address to validate the account
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please enter the field again to make sure the first entry was correct
What type of account do you want?
business partner accounts are currently required for system access and are for authorized individuals employed by companies that have official business dealings with our office
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if you know the Kansas UCC entity code for your company, enter it here and then the name of your company must be entered on the next line
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this name must EXACTLY match the Kanas UCC entity name we have on file for your company and the entity code above
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the title the user holds because of employment with the entity
Mailing Address:
City, State Zip:
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