Billing, routing, payment Information -  Vos coordonn é es et votre r èglement 
     
      
    
   
    Number selected 
     num é ro choisi 
     {{title}} 
 
      
    
   
    
#if {{error_reg_password}}
#endif
Select a Password  
 choisissez un mot de passe 
#if {{error_reg_password}}
 
#endif
* for modifications, if needed.  Pour d' é ventuelles modifications  
   
    
#if {{error_confirm_password}}
#endif
Retype your Password   Retapez votre mot de passe 
#if {{error_reg_password}}
 
#endif
* For safety.  Par mesure de s é curit é  
   
    Registration period  Periode d é siree 
      1 year / 1 an 
      2 years / 2 ans 
      5 years / 5 ans 
      10 years / 10 ans 
       * select 1 year, 2 years, 5 years, 10 years.  Prices differ according to number of years.   Choisissez 1 an, 2 ans, 5 ou 10 ans. Les
     prix varient en fonction du nombre d'ann é es.  
   
    
#if {{error_owner_first_name}}
#endif
First Name   Pr é nom 
#if {{error_owner_first_name}}
 
#endif
  *    
    
   
    Last Name  Nom *   
    
   
    
#if {{error_owner_org_name}}
#endif
Organization Name   Nom de la Soci é t é 
#if {{error_owner_org_name}}
 
#endif
* If private, repeat your name and surname.  Sinon retapez vos noms et pr é noms  
   
    
#if {{error_owner_address1}}
#endif
Street Address   Rue 
#if {{error_owner_address1}}
 
#endif
*   
    
   
    Address 2  Adresse 2 e.g. suite #245, POBox exemple: apt 6, B.P. 7  
   
    Address 3  Adresse 3   
    
   
    
#if {{error_owner_city}}
#endif
City   Ville 
#if {{error_owner_city}}
 
#endif
*   
    
   
    
#if {{error_owner_state}}
#endif
State   Etat 
#if {{error_owner_state}}
 
#endif
     * 
     
    outside USA/Canada: insert "n/a"  Hors des USA et du Canada, mettre
     "n/a"  
   
    Country  Pays 
      United States
       Afghanistan
       Albania
       Algeria
       American Samoa
       Andorra
       Angola
       Anguilla
       Antarctica
       Antigua And Barbuda
       Argentina
       Armenia
       Aruba
       Australia
       Austria
       Azerbaijan
       Bahamas
       Bahrain
       Bangladesh
       Barbados
       Belarus
       Belgium
       Belize
       Benin
       Bermuda
       Bhutan
       Bolivia
       Bosnia Hercegovina
       Botswana
       Bouvet Island
       Brazil
       British Indian Ocean Territory
       Brunei Darussalam
       Bulgaria
       Burkina Faso
       Burundi
       Byelorussian SSR
       Cambodia
       Cameroon
       Canada
       Cape Verde
       Cayman Islands
       Central African Republic
       Chad
       Chile
       China
       Christmas Island
       Cocos (Keeling) Islands
       Colombia
       Comoros
       Congo
       Congo, The Democratic Republic Of
       Cook Islands
       Costa Rica
       Cote D'Ivoire
       Croatia
       Cuba
       Cyprus
       Czech Republic
       Czechoslovakia
       Denmark
       Djibouti
       Dominica
       Dominican Republic
       East Timor
       Ecuador
       Egypt
       El Salvador
       England
       Equatorial Guinea
       Eritrea
       Estonia
       Ethiopia
       Falkland Islands (Malvinas)
       Faroe Islands
       Fiji
       Finland
       France
       France, Metropolitan
       French Guiana
       French Polynesia
       French Southern Territories
       Gabon
       Gambia
       Georgia
       Germany
       Ghana
       Gibraltar
       Great Britain
       Greece
       Greenland
       Grenada
       Guadeloupe
       Guam
       Guatemela
       Guernsey
       Guinea
       Guinea-Bissau
       Guyana
       Haiti
       Heard and McDonald Islands
       Honduras
       Hong Kong
       Hungary
       Iceland
       India
       Indonesia
       Iran (Islamic Republic Of)
       Iraq
       Ireland
       Isle Of Man
       Israel
       Italy
       Jamaica
       Japan
       Jersey
       Jordan
       Kazakhstan
       Kenya
       Kiribati
       Korea, Democratic People's Republic Of
       Korea, Republic Of
       Kuwait
       Kyrgyzstan
       Lao People's Democratic Republic
       Latvia
       Lebanon
       Lesotho
       Liberia
       Libyan Arab Jamahiriya
       Liechtenstein
       Lithuania
       Luxembourg
       Macau
       Macedonia
       Madagascar
       Malawi
       Malaysia
       Maldives
       Mali
       Malta
       Marshall Islands
       Martinique
       Mauritania
       Mauritius
       Mayotte
       Mexico
       Micronesia, Federated States Of
       Moldova, Republic Of
       Monaco
       Mongolia
       Montserrat
       Morocco
       Mozambique
       Myanmar
       Namibia
       Nauru
       Nepal
       Netherlands
       Netherlands Antilles
       Neutral Zone
       New Caledonia
       New Zealand
       Nicaragua
       Niger
       Nigeria
       Niue
       Norfolk Island
       Northern Mariana Islands
       Norway
       Oman
       Pakistan
       Palau
       Palestine
       Panama
       Papua New Guinea
       Paraguay
       Peru
       Philippines
       Pitcairn
       Poland
       Portugal
       Puerto Rico
       Qatar
       Reunion
       Romania
       Russian Federation
       Rwanda
       Saint Helena
       Saint Kitts And Nevis
       Saint Lucia
       Saint Pierre and Miquelon
       Saint Vincent and The Grenadines
       Samoa
       San Marino
       Sao Tome and Principe
       Saudi Arabia
       Senegal
       Seychelles
       Sierra Leone
       Singapore
       Slovakia
       Slovenia
       Solomon Islands
       Somalia
       South Africa
       South Georgia and The Sandwich Islands
       Spain
       Sri Lanka
       Sudan
       Suriname
       Svalbard and Jan Mayen Islands
       Swaziland
       Sweden
       Switzerland
       Syrian Arab Republic
       Taiwan, Province Of China
       Tajikista
       Tanzania, United Republic Of
       Thailand
       Togo
       Tokelau
       Tonga
       Trinidad and Tobago
       Tunisia
       Turkey
       Turkmenistan
       Turks and Caicos Islands
       Tuvalu
       Uganda
       Ukraine
       United Arab Emirates
       United Kingdom
       United States
       United States Minor Outlying Islands
       Uruguay
       USSR
       Uzbekistan
       Vanuatu
       Vatican City State
       Venezuela
       Vietnam
       Virgin Islands (British)
       Virgin Islands (U.S.)
       Wallis and Futuna Islands
       West Bank and Gaza
       Western Sahara
       Yemen, Republic of
       Yugoslavia
       Zaire
       Zambia
       Zimbabwe 
      * Select  Menu d é roulant  
   
    
#if {{error_owner_postal_code}}
#endif
Postal Code   Code postal  * Zip  
   
    
#if {{error_owner_phone}}
#endif
Phone Number   Nume é ro de t é l é phone 
#if {{error_owner_phone}}
 
#endif
* e.g. 212-345-6789 
     exemple 33-1-234-5678 
     
   
    Fax Number  Numero de t é l é copie optional, e.g. 212-345-6789  
   
    
#if {{error_owner_email}}
#endif
Your Email  
      Votre adresse  é lectronique 
#if {{error_owner_email}}
    * Double check please 
     Contrô lez
     2 fois plutô t qu'une ! 
     
   
      
      
      
    
   
    
     
#if {{error_forward_email}}
#endif
e-mail
     address where you want your mail forwarded to   
 
    * L'adresse e-mail  à  laquelle vous voulez votre num é ro rattach é 
#if {{error_forward_email}}
 
   
    (optional)  Enter the web site you want your customers to connect 
     to Facultatif : l'adresse du site de rattachement