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All the fields marked with a '*' are required.
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Yes, my company would like to begin to use the application on State Farm's B2B website.
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Contact Information |
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ext.
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(Should not be a shared email account) |
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Administrator Information |
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Please provide the name of the person who will be administrator for the online accounts at your place of business.
The administrator will be responsible for allowing access by other co-workers. Click here to learn more about
Administrator's duties.
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Yes
No
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Other Information |
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By choosing to send a message to State Farm, you acknowledge that all information contained in your message, including
questions, comments, suggestions, etc., shall not be deemed confidential, and State Farm shall have no obligation of any
kind whatsoever with respect to such information, and shall be free to use, reproduce, disclose, and distribute the
information to others without limitation.
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Upon approval of your request, you will be notified with registration instructions.
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