Your Account & Contact Information is used to login to the site. Please save your password in a safe place. *Your First Name: *Your Last Name: *Your E-Mail: *Create a Personal Password: (at least 4 chars long) *Re-Enter Your Password: Phone: *OK To EMail: Yes  No  (Can we contact you to keep you up-to-date with features and tests on this site?) *How did you hear about us: Existing Customer IIABA IMMS Ironpeak Partners Insurance Network Renaissance Virginia Bates Westfield Agent's Association Other If other: *Organization Type: Insurance Agency Insurance Company Insurance Consultant Other If Other: *Organization Size: 1 - 10 people 11 - 100 people 101 or more

Enter your billing address below. Click here if this is the same as above: *First Name: *Last Name: *Phone: Company: *Address1: Address2: Suite: *City or APO/AFO: *State/Province: SELECT ONEAlabamaAlabamaAlaskaAlaskaAlbertaAlbertaAmerican SamoaAmerican SamoaArizonaArizonaArkansasArkansasArmed Forces Americas (except Canada)Armed Forces Americas (except Canada)Armed Forces Eur., Mid. East, Africa, CanadaArmed Forces Eur., Mid. East, Africa, CanadaArmed Forces PacificArmed Forces PacificBritish ColumbiaBritish ColumbiaCaliforniaCaliforniaColoradoColoradoConnecticutConnecticutDelawareDelawareDistrict of ColumbiaDistrict of ColumbiaFederated States of MicronesiaFederated States of MicronesiaFloridaFloridaGeorgiaGeorgiaGuamaGuamaHawaiiHawaiiIdahoIdahoIllinoisIllinoisIndianaIndianaIowaIowaKansasKansasKentuckyKentuckyLouisianaLouisianaMaineMaineManitobaManitobaMarshall IslandsMarshall IslandsMarylandMarylandMassachusettsMassachusettsMichiganMichiganMinnesotaMinnesotaMississippiMississippiMissouriMissouriMontanaMontanaNebraskaNebraskaNevadaNevadaNew BrunswickNew BrunswickNew HampshireNew HampshireNew JerseyNew JerseyNew MexicoNew MexicoNew YorkNew YorkNewfoundland and LabradorNewfoundland and LabradorNo StateNo StateNorth CarolinaNorth CarolinaNorth DakotaNorth DakotaNorthern Mariana IslandsNorthern Mariana IslandsNorthern Mariana IslandsNorthern Mariana IslandsNorthern TerritoriesNorthern TerritoriesNunavitNunavitOhioOhioOklahomaOklahomaOntarioOntarioOregonOregonOther (Non U.S.)Other (Non U.S.)PalauPalauPennsylvaniaPennsylvaniaPrince Edward IslandPrince Edward IslandPuerto RicoPuerto RicoQuebecQuebecRhode IslandRhode IslandSaskatchewanSaskatchewanSouth CarolinaSouth CarolinaSouth DakotaSouth DakotaTennesseeTennesseeTexasTexasUtahUtahVermontVermontVirgin IslandsVirgin IslandsVirginiaVirginiaWashingtonWashingtonWest VirginiaWest VirginiaWisconsinWisconsinWyomingWyomingYukon TerritoryYukon Territory *Zip: *Country: United StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegowinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, the Democratic Republic of theCook IslandsCosta RicaCote d'IvoireCroatia (local name: Hrvatska)CubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard and Mc Donald IslandsHoly see (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacauMacedonia, the former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldova, Republic ofMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian Territory, occupiedPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovakia (Slovak Republic)SloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSpainSri LankaSt. HelenaSt. Pierre and MiquelonSudanSurinameSvalbard and Jan Mayen IslandsSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania, United Republic ofThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States minor outlying islandsUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands (British)Virgin Islands (U.S.)Wallis and Futuna IslandsWestern SaharaYemenYugoslaviaZambiaZimbabwe(other)

VMBhits.com offers behavioral assessments, skills and knowledge tests and reports as well as related consulting services. This Service and Fee Agreement (hereinafter the “Agreement”) highlights the services we provide and the terms and conditions of use of these services. Please read this agreement carefully and click on the I Accept button at the bottom of this page to complete your registration.

Important note: Acceptance of this agreement does not constitute a purchase or an agreement to purchase any products or services.

Services
-PXT Select™ assessment and follow-up reports as a PXT Select Authorized Partner
-Insurance skills and knowledge testing and reports
-Human Resources consulting and advisory services

Terms and Conditions

Confidentiality
Purchaser acknowledges and agrees the contents of VMBhits.com’s tests may constitute trade secrets, which include confidential and proprietary material, information, and procedures. Purchaser will not resell or otherwise distribute materials, or authorize or allow disclosure of the contents of a test instrument protocol, including test questions and answers, or normative data, except under the limited circumstances described in the section titled “Maintenance of Test Security,” or as otherwise contemplated in the materials associated with the test. Purchaser acknowledges and agrees that the use or disclosure of trade secrets in a manner inconsistent with the provisions of this Agreement may cause VMBhits.com or its vendors irreparable damage for which remedies other than injunctive relief may be inadequate. Accordingly, you agree that in any request by VMBhits.com to a court of competent jurisdiction for injunctive or other equitable relief seeking to restrain such use or disclosure, you will not maintain that such remedy is not appropriate under the circumstances.

Maintenance of Test Security
Each person or organization purchasing a test must agree to comply with these basic principles of minimum test security.

Full Terms and Conditions
Basic principles of Test Security Maintenance and a full presentation of the current Terms and Conditions of Purchase and Use for VMBhits.com are shown in detail at http://www.VMBhits.com/t-termsandconditions.aspx.These online Terms and Conditions are incorporated by reference here into this Agreement.

Payment Options
Visa, MasterCard, American Express

Agreement
By clicking on the I Accept button, the registered customer agrees to abide by these Terms and Conditions for use of the products and services of VMBhits.com.

If you have any questions or concerns about this Agreement, please fee free to contact us at 617-845-0044 Monday – Friday between 8:00 a.m. and 4:30 p.m. (Eastern Time).