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Name: Please enter your first and last name (ex: John Smith). Alphabetical characters only. Legal name is required for billing, shipping, to generate certificates, and to store ownership data using our proprietary blockchain technology.

Email: Must be a valid email address. We will send a confirmation to this address.

Username: Alphanumeric characters only.

Phone: Numeric only - no dashes. Please include your country code.

Address: Must be a valid postal address.

City: Alphanumeric and dashes only.

State: This may be your state or province. Alphanumeric only.

Zip: A valid Zip / Postal Code.

Country: Alphabetical characters only.

Password: Must have at least 1 lowercase letter, 1 uppercase letter, a number and one of the following: !@#$&*

Choose a Username:

Email Address:

Name: (Legal Name, example: John Smith)

Phone: (Numbers only)

Address Line 1:

Address Line 2:

City:

State:

Zip:

Country:

Choose Password: Must contain at least 1 capital letter, one lowercase letter, 1 number and at least one of the following !@$&*.

Re-enter Password:

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