SALSANEWS Member Registration

Member Creation

User ID (max 30 Zeichen)	!
Mail (max 50 Zeichen)	!
Name (max 50 Zeichen)	!
Firstname (max 50 Zeichen)	!
Address (max 100 Zeichen)
(max 100 Zeichen)
Zip/Postal Code (max 10 Zeichen)
Town (max 50 Zeichen)
Country	!
Password (max 20 Zeichen)	!
Confirm your password (max 20 Zeichen)	!

Datas quoted with ! are compulsory !