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Customer Registration
First Name:
Last Name:
Email Address:
(This will be your username)
In order to avoid delays in order preparation, please enter a valid email address.
Password:
Password must be 7 or more characters with at least 1 letter and 1 number.
Verify password:
The passwords must match.
Telephone:
Phone number must be 10 digits,
example: (555) 123-4567
Fields marked with an * are required.
