Thursday, December 14, 2017      
 
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First Name  
Last Name  
Company Name  
Address  
City  
State_Province  
Zipcode_Postal_Code  
Email  

Phone
 Example:) 315-555-5555 
  
Username  
This will be your IMAA Texas username.
This is what  users of the system will know you by. 
Password  
This will be your IMAA Texas password.
A random password has been generated for you.
You can use it or type in a password you would like better. 
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