First and last name
Email address. Primary phone number
State of residency
Residential address (PO BOX not allowed).
Zip Code
D.O.B. (must be at least 18 years old-(WA-21 years old)
Social Security Number (SSN)
![Rob Earle avatar](https://static.intercomassets.com/avatars/4998017/square_128/rob-1628915181.jpg)
Written by Rob Earle
Updated over a week ago