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User Name:
Company Name:
Country:     Currency  
State/Province:        
City:
Zip code:
Address:
Account Type:
Basic: This account just generate and manage quotes online.
Premium: You will need this type of account if you want accept orders online.
Ultimate: You will need this type of account if some deposit payment required before processing with the order.
For more information Please see Accounts page.
Website: http://
Email:
(for Ultimate account Please provide your PayPal email address)
Password:

(letters or numbers only, no spaces no symbols)
Phone:
Description:
If you provide any information which Quote Generator+ has reason to believe is untrue, inaccurate, incomplete or not current, Quote Generator+ has the right to terminate your account.

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Quote Generator Plus Co.