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| Account Information: |
| Account Contact Name (First and Last)  | |
| Account Contact Email Address  | |
| Business Name  | |
| Business Mailing Address (Street)  | |
| Business City  | |
| Business State  | |
| Business Zip  | |
| Business Phone  | |
| Business Name As It Should Appear On Barista  | |
Short Abbreviation For Your Business For Website  ("crbarista.com/xxx")  | |
| Barista Main Site Login (For Use By All Associates)  | |
| Barista Main Site Password (For Use By All Associates)  | |
| Default Email Address For Support Tickets (Also Support Login)  | |
| Code Robotic Support Password  | |
Security secret question: Your mother's maiden name:  | |
Security secret question: What city were you born in?:  | |
I have read and accept the terms and conditions of Barista Use Click Here For Barista Terms and Conditions | Check Here: |
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