New Member Registration Form

Required Fields: (member login information)*
* these fields are the minimum requirements for a MPC Computers membership.
Email Address :*
MPC Password:*
Repeat Password:*
Recommended Fields: (customer details)**
** These fields contact customer contact information recommended for members who use MPC Computers services and may be required for some services before activation (eg hosting account). If you leave this section for now you will be prompted to update your data should your account require additional information. These fields will also making tracking orders easier and may help to provide a more personalised service.
First Name:
Last Name:
Company:
Delivery Address:
City/State:
Postcode:
Country:
Phone:
Fax:
Mobile:
Optional Fields: (member survey)***
*** These optional fields are for website statistical data only - the results will not be stored in relationship to your other (private) member details.
Age:
Occupation:
Gender:
Hobbies:
Opt in for MPC Computers special offers?
Yes Please		No Thanks

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Note: all member information will be kept private and you have the right to view, edit or cancel your account at any time. See the MPC Computers terms and conditions and also the MPC Computers privacy policy for more information.

Note also that MPC Computers or any staff or employees will never ask you for your MPC Computers password.

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