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New User Registration
Main Details
Register As: Individual Business
  Choose if you want to register as a business or as an individual
Full Name:
  Enter your full name.
Address:
  Enter your address.
City/Town:
  Enter the city you live in.

Country: Region/State: Post Code:
Find Your NZ Post Code

Phone: ( )
  Enter your phone number.

Year of Birth
  You must be over 18 years old to register to use this site

User Account Details
Email Address:
  Enter a valid email address that you can check immediately. You will need to activate your account via an emailed link.
Retype Email Address:
Newsletter Subscription:

Create your Username:
   
  Example: rose789 (Don't use your email address)
Your Username identifies you to other users.
Create Password:
  6 characters minimum
Enter a password that's easy for you to remember, but hard for others to guess.
Verify Password:

Accept Direct Payments (Optional feature for sellers)
PayPal Email Address:
PayPal Instant Payment Notification (IPN) URL:
http://www.purelyvintage.co.nz/pp_paypal.php
Paymate Username:
Paymate Callback Process:
http://www.purelyvintage.co.nz/pp_paymate.php
Accept Bank Transfers (Optional feature for sellers)
Bank Account Number*:
Account Name*:
Particulars*:
Code:
Reference:

Terms and Conditions
I am over 18 and have read and accept Purely Vintages terms and conditions above.