{header}
{intro_text}
 
{PROFILE_TITLE}
{errors_list}
 Login Information
 Login User Name*
 Affiliate Code *
({affiliate_code_help})
 Password *
 Confirm password *
 {LOGIN_INFO_MSG}
 Affiliate Code {affiliate_code}
({affiliate_code_help})
 {PERSONAL_DETAILS_MSG}
 Your Name or Company Name {name_required}
 {FIRST_NAME_FIELD} {first_name_required}
 {LAST_NAME_FIELD} {last_name_required}
 {COMPANY_SELECT_FIELD} {company_id_required}
 {COMPANY_NAME_FIELD} {company_name_required}
 {EMAIL_FIELD} {email_required}
 {STREET_FIRST_FIELD} {address1_required}
 {STREET_SECOND_FIELD} {address2_required}
 {CITY_FIELD} {city_required}
 {PROVINCE_FIELD} {province_required}
 {STATE_FIELD} {state_code_required}
 {ZIP_FIELD} {zip_required}
 {COUNTRY_FIELD} {country_code_required}
 {PHONE_FIELD} {phone_required}
 {DAYTIME_PHONE_FIELD} {daytime_phone_required}
 {EVENING_PHONE_FIELD} {evening_phone_required}
 {CELL_PHONE_FIELD} {cell_phone_required}
 {FAX_FIELD} {fax_required}
 {PERSONAL_IMAGE_FIELD}  {UPLOAD_IMAGE_MSG}
 {DELIVERY_DETAILS_MSG}
  {SAME_DETAILS_MSG}  
 {NAME_FIELD} {delivery_name_required}
 {FIRST_NAME_FIELD} {delivery_first_name_required}
 {LAST_NAME_FIELD} {delivery_last_name_required}
 {COMPANY_SELECT_FIELD} {delivery_company_id_required}
 {COMPANY_NAME_FIELD} {delivery_company_name_required}
 {EMAIL_FIELD} {delivery_email_required}
 {STREET_FIRST_FIELD} {delivery_address1_required}
 {STREET_SECOND_FIELD} {delivery_address2_required}
 {CITY_FIELD} {delivery_city_required}
 {PROVINCE_FIELD} {delivery_province_required}
 {STATE_FIELD} {delivery_state_code_required}
 {ZIP_FIELD} {delivery_zip_required}
 {COUNTRY_FIELD} {delivery_country_code_required}
 {PHONE_FIELD} {delivery_phone_required}
 {DAYTIME_PHONE_FIELD} {delivery_daytime_phone_required}
 {EVENING_PHONE_FIELD} {delivery_evening_phone_required}
 {CELL_PHONE_FIELD} {delivery_cell_phone_required}
 {FAX_FIELD} {delivery_fax_required}
 Additional Details
 PayPal Account {paypal_account_required}
 Tax Number {tax_id_required}
 Short Description {short_description_required}
  Full Description {full_description_required}
{SUBSCRIBE_CHECKBOX_MSG}
 {VALIDATION_CODE_FIELD} {validation_number_required}    
{footer}