Cigarette Propensity Permit System

Register/Update Account

Back to Login  

To register, enter all required information and click Submit.

*Required

* Manufacturer:
Manufacturer not listed?   
* FEIN:
 
* Address:
 
* City:

* State:

* Zip:

*Country:
 
* Contact First Name:
 
Contact MI:

* Contact Last Name:
 
* Phone Number:
 
* Fax Number:
 
Web Address:

* Email Address:
      
* Confirm Email Address:
     
* Password:
 
* Confirm Password:
 
* Password Question:
 
* Answer:
 
 
Password must be at least:
- 8 character minimum
-12 character maximum
-1 uppercase
-1 lowercase
-1 number

For additional security, please check the checkbox below (and complete any puzzle prompts you may receive).




If address is not in the US, submit complete address here....
Please send an email to Mable.Thompson@insurance.alabama.gov.