{CHANGEREGISTRATION}

{LOGIN}: {RLOGIN}
{PASSWORD}:
  {SENDUSERINFORMATION}

{HOMEBUSINESSADDRESS}
{NAME}:
{SALUTATION}:
{LASTNAME}:
{APARTMENT}:
{HOUSE}:
{STREETNAME}:
{CITY}:
{PROVINCE}:

{COUNTRY}:
{STATE}:
{POSTALCODE}:
{ZIPCODE}:

{SHIPPINGADDRESS}
{SAME} {DIFFERENT}
   
{APARTMENT}:
{HOUSE}:
{STREETNAME}:
{CITY}:
{PROVINCE}:

{COUNTRY}:
{STATE}:
{POSTALCODE}:
{ZIPCODE}:

{BUSINESSORRESIDENCE}:
{BUSINESS} {RESIDENCE}
 
{COMPANYNAME}:
{OCUPATION}:
{TELPHONEDAY}:
{EXTENSION}:
{TELPHONEEVENING}:
{EXTENSION}:
{FAX}:
{EMAIL}:


 

{HELP}