EXIT - New Agent

NEW AGENT / EMPLOYEE

* Indicates required field

Agent/Employee First & Last Name: *

If they want a new exitadvantage.ca email account ($5/month), enter it below. If they want to use their personal email address, enter it below

Email address: *

Add above email address to the following lists: *

All Agents Morning Minute Xerox Address Books None (If the new email address is an exitadvantage.ca email address, it will be added to All Agents by default)

Xerox Accounting code (4 digits): *

Does this agent/employee wish to OPT OUT of computer support? *

No Yes

When this is completed, who should we send the details to? *

Dana Marilyn

Submit