Pyrotechnician Permit System

Register/Update Account

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To register, enter all required information and click submit.

* Required

* Operator Last Name:

* Operator First Name:

Operator MI:

* SSN:
XXX-XX-XXXX  
* DOB:
MM/DD/YYYY  
 * Telephone:
(XXX) XXX-XXXX  
* US Citizen?
 
* Mailing Address 1:

* Mailing Address 2:

* City

* State

* Zip:



* Physical Address 1:

* Physical Address 2:

 * City:

* State:

* Zip:

* Email:

* Confirm Email:
   
* 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).