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AZ INTOX 8000 Breath Alcohol Recert – New User Account Registration

Please fill out all fields on this form. You MUST add your first name, middle name, and last name. DO NOT put your last name for all fields or your account will not be created.  Once you have submitted the form, you will receive a confirmation email. Your account will be created within one business week, and we will notify you via email at that time.  Your First Name (required) Your Middle Name (required) [...]

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