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AGENT ALIVE SIGN UP

To get you set up with Agent Alive, I will need the following information:

Owner Information

First name

Last name

Email

Company Information

Company name

Company Legal Address

Company Phone Number

Link to company logo

(PNG or JPEG format, otherwise a fee will be charged for conversion)

Billing Information

Billing Email Address

(can be the same as the owner's email)

Multi-line address

Country/Region

Address

City

Zip / Postal code

First Store Location Information

First store location nickname

First store location address

First store location phone number

First store location fax number

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