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Username

User

OLD USER ID

OLD COMPANY ID

OLD AGENT ID

PRODUCTION ID

Company

Country

Adress 1

Adress 2

ZIP

City

E-Mail (not User-Email!)

Domain/Verband

0 = Austria
1 = Benelux
2 = France
3 = Germany
4 = Italy
5 = North America
6 = Russia
7 = Scandinavia
8 = Southeast Europe
9 = Spain
10 = Switzerland
11 = United Kingdom

Sub Association

Membernumber

Membernumber (membership_number)

Pushmail (y/n)

Is validated

Registration confirmation will be emailed to you.

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