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Account ID:

Client Admin Email:

Client First Name:

Client Last Name:

Client Business Name:

Client Address 1:

Client Address 2:

State:

City:

Zip Code:

Country:

Tick Mark this checkbox if you want to send out the Account Sign Up email now to the Client. Unless Client receives the Account Sign Up email, they won't be able to sign up on Shiftango. You can always resend the email to them from Unregistered Clients Tab.

Send Client Admin the email about their account creation.

Clients Staff

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