all * fields are required

	First Name *:		Email *:
	Last Name *:		Password *:
			Password Again *:
	Date of Birth *:
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	Street Address 1 *:		City *:
	Street Address 2:		State/Province *:
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			ZIP *:
			Country:
	Phone Number:		Instant Messenger Name:
			--- AIM MSN ICQ
	Cell Number
	Are You In School?		Do you Drive?
	------------ yes no		------------ yes no
	If Yes, What School?

	What Are Your Favorite Music Sites?		What Are Your Favorite Non-Music Sites?