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New User Enrollment Form - Step 3

 
   
To join BrazosTitleRecords.com, complete this Enrollment Form and click <ENROLL ME NOW>. This will take you to the final step where you select the Billing Plan that is most appropriate for you.

You may also enroll by calling 940-521-9792 and asking to be enrolled as a new user in BrazosTitleRecords.com. Questions can be directed to the e.halFILE Administrator.

 

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Personal Information                                (*) = Required Information
Select a user id* (maximum 8 characters)

Specify your password*

Retype your password*
First Name*
Last Name*
Preferred Mailing Address Line 1*
Preferred Mailing Address Line 2 (if required)
City*
 		State/Province*
 		Zip/Postal Code*
 Country*
Primary Phone*
 Secondary Phone
 Fax Number
  
Business Name
E-Mail Address