Template 01

[2nd ] Member Registration

* Company
* Name
* E-Mail
* Password	(* Use fewer than twelve characters and numbers)
* Conmfrim Password
* Country of residence
ZipCode	(ex; 123456789 without - )
* Address
* Phone number
Mobile Phone Number	(ex; 123456789 without - )
Fax Phone NUmber	(ex; 123456789 without - )
Paypal account	( to receive the deposit)
Mailling	Yes No