CONTRACTOR REGISTRATION

To access the member's only section of the contractor portal, you must:

1. Review & sign Letter of Agreement, W-9 Form, Training Request Form.
2. Complete and fax page 3 of the LOA, W-9 and TRF to (913) 901-8874.
3. Fill in contact information in the fields below.
4. Attend free CheckMe!® diagnostic training.

Once all requirements are filled, your username and password will be e-mailed to your registered account.

FIRST NAME*:
LAST NAME*:
COMPANY NAME*:
ADDRESS 1*:
ADDRESS 2:
CITY*:
STATE*:	Kansas Missouri
ZIP*:
PHONE*:	Ext.
E-MAIL*:
WEBSITE:
* Required Fields