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Email Address

Must be a valid Email Address

Password

8-100 characters from alphanumeric plus symbols !$%&@#-_.+=

Full Name

Your name is required (5-150 characters)

Email Address

Must be a valid Email Address

Telephone Number

Must be a valid Telephone Number (8-25 characters)

Date of Birth

Password

Must be a valid Password

Password Confirmation

Must be a valid Password and match