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New Member Sign-up Form

Please fill in your required information. You will receive an email confirmation once your account has been created. If you are the member of an organization please fill in your personal information and not the organization's information as this account belongs to you personally.

Personal Information

	* First Name
	* Last Name
	* Email Address
	* Preferred Language

Member Location

	* Country
	* Address Line 1
	Address Line 2
	* City
	* Province/State
	* Postal/Zip
	* Phone (10 digits) + Ext (Optional)

Account Information

	Username
	Password (Min 6 chars)
	Confirm Password

Identity Information

* Date of Birth

* Favorite Colour

* Secret Question

* Answer to Secret Question

Other Information

	* Would you like us to email you information relating to CARSability?
	* Would you like us to mail you CARSability information to the above address?

Agreements

CARSability is goverened by the two following legal agreements:

Legal Agreement	CARSability legal agreement

Privacy Statement	CARSability privacy statement

* Confirm Email

By typing your e-mail address and clicking "I Accept", you are accepting all of the above agreements and consenting to all of the terms and conditions as outlined in the agreements. If you do not understand these agreements or disagree with any terms as presented in the agreements, click the "Cancel" button to discontinue your account setup.