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XML Services Registration Form

User Email Address is required
Password is required
Confirm Password is required
Password mismatch
Requestor Name is required
Requestor Company Name is required
Requestor Address is required
City is required
Requestor Country is required
Requestor Phone Number is required
Requestor Email Address is required
Requestor Account Number is required
Requestor Services is required
Describe the application and business process where XML Services will be used is required
Planned to go live Date is required
User Email Address Length must be at least 6 and maximum 100 characters
Password Length must be at least 6 characters
Requestor Name Length must be at least 2 and maximum 35 characters
Company Name Length must be less than 50 characters
Requestor Address Length must be less than 35 characters
Requestor Address2 Length must be less than 35 characters
Requestor Address3 Length must be less than 35 characters
City Length must be less than 35 characters
Suburb Length must be less than 35 characters
Requestor Phone Length must be less than 25 characters
Requestor Email Address Length must be less than 50 characters
Account number length must be less than 12 characters
Application Description Length must be less than 2000 characters
Requestor Email Address format is invalid
User Email Address format is invalid
Planned go live date is invalid

User Email Address *

Password *

Confirm Password *

Requestor Name *

Company Name *

Requestor Type

Requestor Address *

Requestor Address 2

Requestor Address 3

City *

Postal Code

Suburb

Requestor Country *

Requestor Phone Number *

Requestor Account Number *

Requestor Services *

Capability	Shipment	Pickup
Tracking	Quote

Describe the application and business process where XML Services will be used *

Planned to go live Date *

Expected Transaction Volume(Monthly)

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