These are required fields *
  First Name*:
  Last Name*:
  E-mail Address*:
  Postal Code*:
  Phone Number*:
  Choose English or French*:
  Please do not use the PIN code you have been provided for your user name or password.
  User Name*:
  Password*: (Minimum of 5 characters)
  Confirm Password*:
    You will receive a confirming email once you have registered and you must follow the instructions within seven days to acctivate your account