| Enter User ID. |
| Enter New Password. |
| Confirm New Password. |
| Select the security question. |
| Enter the answer to the security question above. |
| Enter Dun and Bradstreet Data Universal Numbering System (DUNS) number. |
| Enter the applicant's Employee Identification Number assigned by the IRS. |
| Congressional District of Licensee |  | |
| Enter the Congressional District of the applicant's headquarters (this can only be one number). If there is only one Congressional District in the State/Territory, enter "1" |
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