Notes:
please surely fill in true data, so that we can keep contact with you ...

□■member basic data  
   
member name: * [4-10 character(A-Z, a-z, 0-9)]
entry password: * [4-10 character]
validate password: *
   
□■member detailed data: [please surely fill in true data,
so that we can keep contact with you]
   
name of contact person: *
company name: *
E-MAIL: *
contact telephone: *
fax number:
company address: *

post code:

*