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5 Digit Zip
Date of Birth
Select your mobile carrier from this list
AT and T Wireless
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Golden State Cellular
Illinois Valley Cellular
Matanuska Tel Assoc
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No Mobile Phone
Rural Cellular Corp
6 long, minimum 2 numbers and no spaces
Select Security Question
What is your eye color?
What was the color of your first car?
What is the name of your first employer?
How many siblings do you have?
In what city were you born?
What is your mother's middle name?
In what year did you graduate high school? (yyyy)
What is the name of the street that you grew up on?
In what year was your mother born? (yyyy)
In what year was your father born? (yyyy)
What is the name of the last high school you attended?
What was the model of your first car?
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