The role of the created user set to the default role. Only an administrator can register a user with the role assigned to this form.

• • * Nom de l'entreprise
  • *
  • * Required phone number format: (---)(---)(----)
    
• • *
  • * Confirmation email
  • Mot de passe* Mot de passe Minimum length of 9 characters.
    The password must have a minimum strength of StrongStrength indicator
  • Repeter mot de passe *
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  • * *CommercantsSelectionner un role
  • NEQ Numero d'identification d'entreprise canadienne (NIE/NEQ)

• • • Country* Sélectionner une option…Canada
    • First Name*
    • Last Name*
    • Company Name
    • Address*
    • Town / City*
    • State / County*Sélectionner une option…AlbertaColombie-BritanniqueManitobaNouveau-BrunswickTerre-Neuve-et-LabradorTerritoires du Nord-OuestNouvelle-ÉcosseNunavutOntarioÎle du Prince-ÉdouardQuébecSaskatchewanYukon
    • Postcode / Zip*
  • *