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You will receive an email from us once your account is activated. Email web@HaugeAssociates.com if you have a question about this form, or contact HAI's Client Service Department at (800) 284-3131.
| USER INFORMATION | |||
| Preferred Username: | (min. 6 characters, max. 20) | ||
| Preferred Password: | (min. 6 characters, max. 16) | ||
| Confirm Password: | |||
| First Name: | |||
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| Fax: | () - | ||
| Acknowledgments: | We will provide an account summary (acknowledgment)
upon receipt of each batch submitted via our web site. Check the checkboxes
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