Friday September 10, 2010
Registration
 
 
Fields in green are required.
 
 
New Account Information
 
 
Username:
 
 
 
Up to 20 characters.
May contain lowercase letters, numbers, underscore, except spaces and special characters.
 
Password:
 
 
 
Up to 16 characters.
May contain letters, numbers, underscore, except spaces and special characters.
 
Re-type Password:
 
 
 
 
Email Address:
 
 
 
Up to 50 characters.
 
 
 
User Profile
 
 
Title:
 
 
 
Example: Atty., Engr., Dr.
 
First Name:
 
 
 
 
Last Name:
 
 
 
 
Middle Name or Initial:
 
 
 
 
Company Name:
 
 
 
Full company name as shown in your certificate of registration.
 
Position:
 
 
 
 
Zone Location:
 
 
 
 
* Primary Phone:
 
 
 
 
* Alternate Phone:
 
 
 
 
* Fax:
 
 
 
 
* Include Area Code if necessary.
 
 
Verification
 
 
Cert. Reg. (CR) No.:
 
 
PEZA Certificate of Registration Number.
Used to authenticate request.
Account will not be activated if left blank.
 
 
Type
 
  into this box.. 
 
 
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