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Participant Enrollment - Step 1

Please follow these instructions to complete your enrollment process:
  1. Please fill out all sections of this enrollment page, starting at the top and working down.
  2. You MUST provide a physical street address as we cannot accept P.O. Box addresses.
  3. Please register only one time and list only ONE Store location. Multiple registrations will delay your approval!
  4. Click "FINISH" to view the confirmation page - Please follow the instructions on the confirmation page carefully.
  5. 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  
* Employee #  
* First Name  
* Last Name  
* User Class:
* Country:
* Address 1    
Address 2
* City    
* State/Province
* Postal Code    
* County  
* Phone  
Mobile Phone
* Email  
* Confirm Email    
* Username  
* Password Case Sensitive  
* Confirm Password