Participant Registration

Shaw Account No
First Name
Last Name
Gender
Primary Language Spoken
Don't see your language in the list above? Type your language below.
Your Role
How long have you been in your current role at this company?

BUSINESS ADDRESS

Address
City
State / Province
Zip / Postcode
Country
Business Phone

HOME ADDRESS

Address
City
State / Province
Zip / Postcode
Country
Cell Phone
SSN/SIN(Canada)
Email Address

Pursuant to the Patriot Act enacted by the U.S. Government, in order to issue a reloadable debit card or fund an existing card, we must obtain a Date of Birth for each participant.

Date of Birth

Type a user name for your account. This is the name you will use to sign in to www.shawcts.com.
Your password must be at least 6 characters long.

User Name
Password
Password Again