Simple registration

* First Name
* Last Name
* Telephone
* E-mail
* Confirm email	Email and confirmation are not equal!
* Password:

* Address Line 1
Address Line 2
* City
* Postcode
* Region	--- Please Select --- AberdeenAberdeenshireAngleseyAngusArgyll and ButeBedfordshireBerkshireBlaenau GwentBridgendBristolBuckinghamshireCaerphillyCambridgeshireCardiffCarmarthenshireCeredigionCheshireClackmannanshireConwyCornwallCounty AntrimCounty ArmaghCounty DownCounty FermanaghCounty LondonderryCounty TyroneCumbriaDenbighshireDerbyshireDevonDorsetDumfries and GallowayDundeeDurhamEast AyrshireEast DunbartonshireEast LothianEast RenfrewshireEast Riding of YorkshireEast SussexEdinburghEssexFalkirkFifeFlintshireGlasgowGloucestershireGreater LondonGreater ManchesterGwyneddHampshireHerefordshireHertfordshireHighlandsInverclydeIsle of ManIsle of WightJerseyKentLancashireLeicestershireLincolnshireMerseysideMerthyr TydfilMiddlesexMidlothianMonmouthshireMorayNeath Port TalbotNewportNord-TrondelagNorfolkNorth AyrshireNorth LanarkshireNorth YorkshireNorthamptonshireNorthumberlandNottinghamshireOrkney IslandsOxfordshirePembrokeshirePerth and KinrossPowysRenfrewshireRhondda Cynon TaffRutlandScottish BordersShetland IslandsShropshireSomersetSouth AyrshireSouth LanarkshireSouth YorkshireStaffordshireStirlingSuffolkSurreySwanseaTorfaenTyne and WearVale of GlamorganWarwickshireWest DunbartonshireWest LothianWest MidlandsWest SussexWest YorkshireWestern IslesWiltshireWorcestershireWrexham
* Country	--- Please Select --- AustraliaCanadaDenmarkFrance, MetropolitanGermanyHungaryIrelandJerseyLuxembourgNetherlandsNew ZealandNorwaySwedenUnited KingdomUnited States