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New Member Registration


*Note : Fields marked with are compulsory**
Member Type	:
* User Id	:		(maximum 10 chars. use a combination of characters and numbers)
* Password	:		(maximum 10 chars. use a combination of characters and numbers)
* Confirm Password	:		(maximum 10 chars. use a combination of characters and numbers - should be same as above field)
* Name	:
Billing Address
* Address	:	(maximum 250 characters)
* P.O. Box	:	(maximum 6 numbers)
* State	:	(maximum 50 characters)
* Country	:
Delivery Address [ Check to use Billing Address ]
*Address	:
*P.O. Box	:
*State	:
*Country	:
*Land Mark	:
Other Details
* Telephone	:
Mobile	:
Fax	:
* Email	:	(eg:yourname@somedomain.com)
* Gender	: