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If you represent a book store call for Book Store Code first.
If you an end-user select Business or Home User as Type of User.

Company Name:* (Home users leave this blank)
Type of User:* Book Store Code (Book Stores only)
First Name:*
Last Name:*
Phone Number:*
Address 1:*
Address 2:
State:* If Other Enter Province or Region:
Zip/Postal Code:*
Email Address:* (Used for future log in)
Retype Password:*
Referred by (Bookstore,Website or Search Engine):*