demo 2.2

Authentication Information
Username:
Two of the following fields are required. The fields for Date of Birth are considered one field and the Driver's license fields are considered one field.
Password:
Date of Birth:	// (MM/DD/YYYY)
(Use two digits for month and day, four for the year. Ex 01/23/1947.)
Social Security Number:
Driver's License Number:	Driver's License State:
(Most common is a two character abbreviation for the State. ex. TX )
Maiden:
Customer Secret: