ToBePainFree

Title:
First Name: *		Required
Last Name: *		Required
Company:		Optional
MaxGXL User ID: *		Required - MUST MATCH MAXGXL USER ID EXACTLY
Email Address: *		Required
Website Address: *		Optional - You may already have your own www.???.com you will be pointing to your ToBePainFree website
Street Address: *		Required
City: *		Required
Zip Code: *		Required
Country:		Required
Phone (day): *		Required
Phone (evening): *		Required
Toll Free Phone #:		Optional - Will display on Top of webpage
Recorded Message #:		Optional - Will display on bottom of webpage
Sponsor Name: *		Required - The name or ID of your Sponsor
Free Intro Pack (Y/N):		If "Y" then Text will display on customer form (temporarily disabled)
Approved (Y/N):		"N" until approved by Team Global Administrator

Choose Username: *		Choose a Username for THIS back office. Can be same as MaxGXL
Choose Password: *		Choose a Password for THIS back office. Can be same as MaxGXL
* = Required Information