Pyrotechnician Permit System

Register/Update Account

Back to Login

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).