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USER INFORMATION

HOME FACILITY
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ACCESS CODE


FIRST NAME

LAST NAME

STREET ADDRESS
TELEPHONE	ex: ###-###-####

EMAIL

BIRTH MONTH
BIRTH YEAR	(ex: yyyy)

RESERVATION CONFIRMATIONS
BY EMAIL:
BY TEXT MESSAGE:
CELL NUMBER:

LOGIN INFORMATION
USERNAME
PASSWORD

RETYPE PWD

TELEPHONE LOGIN INFORMATION (OPTIONAL)

4 DIGIT USER CODE

4 DIGIT PIN	ex: ####

RETYPE PIN