Your Name (required) Your Agency Name (required) Your Email (required) Is this a: NewExisting If Existing User, what can we do for you? Your Message If New User: Users Name Does the New User Need to: Email out of FOCUSFax out of FOCUS *Fax use will have monthly fee New Users Work Email **If email provided, we will notify the new user directly with their login information and copy the requester.** New Users Professional Designation/Job Title Customer Instructions ASAP, you will need to create a contact for your new user under Admin > Contacts. The user will be created as Read Only; You will need to assign their role and access privileges in Admin > User Management.