Electronic Faxing Enrollment Electronic Faxing Enrollment Electronic Faxing Enrollment Once you submit your enrollment, an STI Representative will get in touch with you to begin the setup process. Please note, you MUST be on Windows 10 or higher:*Yes, I am on Windows 10.Practice Name*Address* Street Address City State / Province / Region ZIP / Postal Code Primary Fax Number*Contact Name* First Last Contact Phone*Contact Email When adding users, please specify which users will be designated as an Admin, Provider or Staff. There should only be a maximum of (2) users designated as an Admin. User #1 - Full Name* First Last User 1 - Email (This will also act as your USERNAME)*Note: This email must be unique per user. User 1 - RolePlease note, only 2 users should be assigned as an "Admin".AdminProviderStaffDo you want to add another user?YesNoUser #2 - Full Name* First Last User 2 - Email (This will also act as your USERNAME)*Note: This email must be unique per user. User 2 - RolePlease note, only 2 users should be assigned as an "Admin".AdminProviderStaffDo you want to add another user?YesNoUser #3 - Full Name* First Last User 3 - Email (This will also act as your USERNAME)*Note: This email must be unique per user. User 3 - RolePlease note, only 2 users should be assigned as an "Admin".AdminProviderStaffDo you want to add another user?YesNoUser #4 - Full Name* First Last User 4 - Email (This will also act as your USERNAME)*Note: This email must be unique per user. User 4 - RolePlease note, only 2 users should be assigned as an "Admin".AdminProviderStaffDo you want to add another user?YesNoUser #5 - Full Name* First Last User 5 - Email (This will also act as your USERNAME)*Note: This email must be unique per user. User 5 - RolePlease note, only 2 users should be assigned as an "Admin".AdminProviderStaffDo you want to add another user?YesNoUser #6 - Full Name* First Last User 6 - Email (This will also act as your USERNAME)*Note: This email must be unique per user. User 6 - RolePlease note, only 2 users should be assigned as an "Admin".AdminProviderStaffDo you want to add another user?YesNoUser #7 - Full Name* First Last User 7 - Email (This will also act as your USERNAME)*Note: This email must be unique per user. User 7 - RolePlease note, only 2 users should be assigned as an "Admin".AdminProviderStaffDo you want to add another user?YesNoUser #8 - Full Name* First Last User 8 - Email (This will also act as your USERNAME)*Note: This email must be unique per user. User 8 - RolePlease note, only 2 users should be assigned as an "Admin".AdminProviderStaffDo you want to add another user?YesNoUser #9 - Full Name* First Last User 9 - Email (This will also act as your USERNAME)*Note: This email must be unique per user. User 9 - RolePlease note, only 2 users should be assigned as an "Admin".AdminProviderStaffDo you want to add another user?YesNoUser #10 - Full Name* First Last User 10 - Email (This will also act as your USERNAME)*Note: This email must be unique per user. User 10 - RolePlease note, only 2 users should be assigned as an "Admin".AdminProviderStaff
