BioShop Canada Online Store

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Registration
Customer Data
	*First Name
	*Last Name
	*Phone Number
	*Email (use this to log in)
	*Password (4-10 Characters)
	*Re-Enter Password

Customer Details
Billing address
	* Institution / Company Name
	* Department
	*Address
	Address Line 2
	Address Line 3
	Address Line 4
	*City
	*Province/State
	Another Province/State
	*Postal Code/Zip
	*Country

Shipping address ( Same as Billing Address)
	*First Name
	*Last Name
	* Institution / Company Name
	* Department
	*Address
	Address Line 2
	Address Line 3
	Address Line 4
	*City
	*Province/State
	Another Province/State
	*Postal Code/Zip
	*Country

	* required field