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Registration  
User Name    (User names can only contain letters, numbers and underscores) 
Password   (Passwords must be at least eight characters long.
Your password must contain at least:
1. one lowercase letter;
2. one uppercase letter;
3. one number;
4. one symbol @=#!%&^+-$) 
First Name  Last Name 
User type    Agent   Agency Supervisor   Insurance Co. User
Agency or Insurance Co. 
Address Line 1 
Address Line 2 
City  Province 
Postal Code 
E-mail 
Phone Number  Alt Number 
Cellular Number  Fax Number 
Please Indicate the City and Province Where the Volume of Your Business is Conducted 
 
Additional Information / Comments
 
  I consent to the use of my email address for communications related to my account, including for messages that may be sent automatically from the Dynacare system, in accordance with Canada's Anti-Spam Legislation (CASL).