Registration Form

UserID	:	(Maximum 12 characters)
Password	:	(Maximum 12 characters)
Confirm Password	:
* min 4 - max 10 characters without spacing or symbols
First Name	:
Last Name	:
Company Name	:
Country	:
Tel No.	:
Fax No.	:	(Can be empty)
Address	:
Postal Code	:
Email Address	: