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Customer Registration

Please complete the following information and make the necessary choices. Your username can be any combination of letters and numbers with a length between 5 and 10 characters.

Customer Type
Existing Customer (I have been to the store before)
New Customer (I have never been to the store)
User Information
Username
Email
Confirm Email
Personal Information
First Name
Last Name
Gender
Phone Format: (###) ###-####
Phone Type
I am at least 14 years of age or older