Enrollment

Available Tokens

Participant Enrollment - Step 1

Please follow these instructions to complete your enrollment process:

Please fill out all sections of this enrollment page, starting at the top and working down.
You MUST provide a physical street address as we cannot accept P.O. Box addresses.
Please register only one time and list only ONE Store location. Multiple registrations will delay your approval!
Click "FINISH" to view the confirmation page - Please follow the instructions on the confirmation page carefully.
If you click CANCEL your enrollment information will not be saved.

If you have trouble registering or have questions about the registration/confirmation process, please contact via email at support@valuesme.com.

You must have Adobe Acrobat Reader intalled on your computer to finish the enrollment process. Click here to download a free version of Adobe Acrobat Reader.


*	Region	* Required
*	Employee #	Employee Number is a required field.
*	First Name	First Name is a required field.
*	Last Name	Last Name is a required field.
*	User Class:
*	Country:
*	Address 1	Address 1 is a required field.
	Address 2
*	City	City is a required field.
*	State/Province
*	Postal Code	Zip is a required field.
*	County
*	Phone	Phone is a required field.
	Mobile Phone
*	Email	Email is a required field.
*	Confirm Email	Confirm Email is a required field. Email and Confirm Email must match.
*	Username	Username is a required field.
*	Password	Case Sensitive Password is a required field.
*	Confirm Password	Confirm Password is a required field.