Customer Self-Service Center

<< Back to Sign-In Screen 

New Customer Sign-Up Form
Account Information
Email Address  (this will be your user ID)
Password  (at least 6 chars, must contain at least one number)
Re-Enter Password
Main Contact Information
First Name Last Name Gender
Street Address 1
Street Address 2
City / State  
Zip Code  Country: United States
Phone #1 Desc.   SMS Text  
Phone #2 Desc.   SMS Text  
Phone #3 Desc.   SMS Text  
Secondary Contact Information
First Name Last Name   Gender
Employer Relationship
Phone #1 Desc.   SMS Text    
Phone #2 Desc.   SMS Text    
Main email
Billing email
Emergency Contact Information (used for all students in family)
Emergency Contact #1
Emergency Contact #2

Helpful Tips For New Customers

Fill out the form to the left to create your new account. All fields in BOLD are required.

Your email address will be your user ID to access the customer self-service center. You will receive an email with your access information after you complete your sign-up.

Choose a password that contains both numbers and letters. Make sure your password is not easy to guess to prevent unauthorized access to your account.

Don't use your Web browser's BACK ARROW button as this could cause problems and duplications of data.

If you have any questions, feel free to contact us by phone or email:

Phone: 815-899-1307

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