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Self Service Registration Portal
Release 24.5.3
Built with
using
Oracle APEX
Self-Service Site Sign Up
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Instructions
Welcome to Self-Service Site Sign Up!
You will need to provide your name, contact details, and physical address in order to proceed with this self-service sign-up process.
Once you sign up, you will receive an email with a link to the Site Portal. Within the Site Portal you can complete setting up other account details and then enter your Site details.
If you are not authorized to enter as a self-service Site then please exit immediately. Failure to do so may lead to prosecution for trespassing!
First Name
Required
Last Name
Required
Job Title
Required
Email
Required
Phone number, Phone Extension, and Fax will only accept numeric input.
Required
Phone
Required
Phone Extension
Required
Fax
Required