| Username | | Choose a username of up to 16 letters and/or numbers. |
| Password | | Choose a password of at least 8 letters and/or numbers. |
| Confirm Password | | Re-enter your password to confirm. |
| Email Address | | Enter your e-mail address. |
| Confirm Email Address | | Re-enter your e-mail address to confirm. |
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Inform me about important service changes. |
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