Création de Compte : rГ©pliques de montres, sellerwat

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<div class="sideBoxContent centeredContent"><a href="http://www.sellerwatch.ru/fr/index.php?main_page=product_info&cPath=41&products_id=4242"><img src="http://www.sellerwatch.ru/fr/images/_small//replicawatches7101_/Jaeger-Le-Coultre/Jaeger-LeCoultre-Master-Perpetual-Reference-149-1.jpg" alt="Jaeger -LeCoultre , Master Perpetual , rГ©fГ©rence 149.84.2 [1252]" title=" Jaeger -LeCoultre , Master Perpetual , rГ©fГ©rence 149.84.2 [1252] " width="130" height="163" /></a><a class="sidebox-products" href="http://www.sellerwatch.ru/fr/index.php?main_page=product_info&cPath=41&products_id=4242">Jaeger -LeCoultre , Master Perpetual , rГ©fГ©rence 149.84.2 [1252]</a><div><span class="normalprice">&euro;8,816.40 </span>&nbsp;<span class="productSpecialPrice">&euro;210.18</span><span class="productPriceDiscount"><br />Economie :&nbsp;98%</span></div></div><div class="sideBoxContent centeredContent"><a href="http://www.sellerwatch.ru/fr/index.php?main_page=product_info&cPath=47&products_id=6173"><img src="http://www.sellerwatch.ru/fr/images/_small//replicawatches7101_/Omega-nbsp-nbsp-/Omega-Speedmaster-DayDate-323-53-40-44-02-001-1.jpg" alt="Omega Speedmaster DayDate 323.53.40.44.02.001 [3133]" title=" Omega Speedmaster DayDate 323.53.40.44.02.001 [3133] " width="130" height="163" /></a><a class="sidebox-products" href="http://www.sellerwatch.ru/fr/index.php?main_page=product_info&cPath=47&products_id=6173">Omega Speedmaster DayDate 323.53.40.44.02.001 [3133]</a><div><span class="normalprice">&euro;3,333.12 </span>&nbsp;<span class="productSpecialPrice">&euro;183.21</span><span class="productPriceDiscount"><br />Economie :&nbsp;95%</span></div></div><div class="sideBoxContent centeredContent"><a href="http://www.sellerwatch.ru/fr/index.php?main_page=product_info&cPath=58&products_id=7952"><img src="http://www.sellerwatch.ru/fr/images/_small//replicawatches7101_/Rolex-nbsp-nbsp-/Rolex-Mid-size-Datejust-178274-17.jpg" alt="Rolex Datejust Mid-size 178274 [67ae]" title=" Rolex Datejust Mid-size 178274 [67ae] " width="130" height="163" /></a><a class="sidebox-products" href="http://www.sellerwatch.ru/fr/index.php?main_page=product_info&cPath=58&products_id=7952">Rolex Datejust Mid-size 178274 [67ae]</a><div><span class="normalprice">&euro;4,785.78 </span>&nbsp;<span class="productSpecialPrice">&euro;176.70</span><span class="productPriceDiscount"><br />Economie :&nbsp;96%</span></div></div></div>

</div></td>
<td id="columnCenter" valign="top">

<div id="navBreadCrumb"> <a href="http://www.sellerwatch.ru/fr/">Accueil</a>&nbsp;::&nbsp;
Cr&eacute;ation de Compte
</div>






<div class="centerColumn" id="createAcctDefault">

<h1 id="createAcctDefaultHeading">Mes informations de compte</h1>

<form name="create_account" action="http://www.sellerwatch.ru/fr/index.php?main_page=create_account" method="post" onsubmit="return check_form(create_account);"><input type="hidden" name="action" value="process" /><input type="hidden" name="email_pref_html" value="email_format" /><h4 id="createAcctDefaultLoginLink"><strong class="note">NOTE :</strong> si vous avez d&eacute;j&agrave; un compte, veuillez vous identifier sur la <a href="http://www.sellerwatch.ru/fr/index.php?main_page=login">page de Connexion</a>.</h4>

<fieldset>
<legend>Vos informations personnelles</legend>


<div class="alert forward">* Information Requise</div>
<br class="clearBoth" />



<fieldset>
<legend>Vos coordonn&eacute;es</legend>

<label class="inputLabel" for="firstname">Pr&eacute;nom :</label>
<input type="text" name="firstname" size = "41" maxlength= "96" id="firstname" /><span class="alert">*</span><br class="clearBoth" />

<label class="inputLabel" for="lastname">Nom :</label>
<input type="text" name="lastname" size = "41" maxlength= "96" id="lastname" /><span class="alert">*</span><br class="clearBoth" />

<label class="inputLabel" for="street-address">Adresse :</label>
<input type="text" name="street_address" size = "41" maxlength= "192" id="street-address" /><span class="alert">*</span><br class="clearBoth" />


<label class="inputLabel" for="city">Ville :</label>
<input type="text" name="city" size = "41" maxlength= "96" id="city" /><span class="alert">*</span><br class="clearBoth" />

<label class="inputLabel" for="stateZone" id="zoneLabel">Etat/province :</label>
<select name="zone_id" id="stateZone">
<option value="" selected="selected">Veuillez choisir ...</option>
<option value="1">Alabama</option>
<option value="2">Alaska</option>
<option value="3">American Samoa</option>
<option value="4">Arizona</option>
<option value="5">Arkansas</option>
<option value="6">Armed Forces Africa</option>
<option value="7">Armed Forces Americas</option>
<option value="8">Armed Forces Canada</option>
<option value="9">Armed Forces Europe</option>
<option value="10">Armed Forces Middle East</option>
<option value="11">Armed Forces Pacific</option>
<option value="12">California</option>
<option value="13">Colorado</option>
<option value="14">Connecticut</option>
<option value="15">Delaware</option>
<option value="16">District of Columbia</option>
<option value="17">Federated States Of Micronesia</option>
<option value="18">Florida</option>
<option value="19">Georgia</option>
<option value="20">Guam</option>
<option value="21">Hawaii</option>
<option value="22">Idaho</option>
<option value="23">Illinois</option>
<option value="24">Indiana</option>
<option value="25">Iowa</option>
<option value="26">Kansas</option>
<option value="27">Kentucky</option>
<option value="28">Louisiana</option>
<option value="29">Maine</option>
<option value="30">Marshall Islands</option>
<option value="31">Maryland</option>
<option value="32">Massachusetts</option>
<option value="33">Michigan</option>
<option value="34">Minnesota</option>
<option value="35">Mississippi</option>
<option value="36">Missouri</option>
<option value="37">Montana</option>
<option value="38">Nebraska</option>
<option value="39">Nevada</option>
<option value="40">New Hampshire</option>
<option value="41">New Jersey</option>
<option value="42">New Mexico</option>
<option value="43">New York</option>
<option value="44">North Carolina</option>
<option value="45">North Dakota</option>
<option value="46">Northern Mariana Islands</option>
<option value="47">Ohio</option>
<option value="48">Oklahoma</option>
<option value="49">Oregon</option>
<option value="51">Pennsylvania</option>
<option value="52">Puerto Rico</option>
<option value="53">Rhode Island</option>
<option value="54">South Carolina</option>
<option value="55">South Dakota</option>
<option value="56">Tennessee</option>
<option value="57">Texas</option>
<option value="58">Utah</option>
<option value="59">Vermont</option>
<option value="60">Virgin Islands</option>
<option value="61">Virginia</option>
<option value="62">Washington</option>
<option value="63">West Virginia</option>
<option value="64">Wisconsin</option>
<option value="65">Wyoming</option>
</select>
&nbsp;<span class="alert">*</span>
<br class="clearBoth" id="stBreak" />
<label class="inputLabel" for="state" id="stateLabel"></label>
<input type="text" name="state" value="&nbsp;" size = "41" maxlength= "96" id="state" />&nbsp;<span class="alert" id="stText">*</span><br class="clearBoth" />

<label class="inputLabel" for="postcode">Code Postal :</label>
<input type="text" name="postcode" size = "31" maxlength = "30" id="postcode" /><span class="alert">*</span><br class="clearBoth" />

<label class="inputLabel" for="country">Pays :</label>
<select name="zone_country_id" id="country" onchange="update_zone(this.form);">
<option value="">Veuillez choisir votre Pays</option>
<option value="223" selected="selected">United States</option>
<option value="240">Aaland Islands</option>
<option value="1">Afghanistan</option>
<option value="2">Albania</option>
<option value="3">Algeria</option>
<option value="4">American Samoa</option>
<option value="5">Andorra</option>
<option value="6">Angola</option>
<option value="7">Anguilla</option>
<option value="8">Antarctica</option>
<option value="9">Antigua and Barbuda</option>
<option value="10">Argentina</option>
<option value="11">Armenia</option>
<option value="12">Aruba</option>
<option value="13">Australia</option>
<option value="14">Austria</option>
<option value="15">Azerbaijan</option>
<option value="16">Bahamas</option>
<option value="17">Bahrain</option>
<option value="18">Bangladesh</option>
<option value="19">Barbados</option>
<option value="20">Belarus</option>
<option value="21">Belgium</option>
<option value="22">Belize</option>
<option value="23">Benin</option>
<option value="24">Bermuda</option>
<option value="25">Bhutan</option>
<option value="26">Bolivia</option>
<option value="27">Bosnia and Herzegowina</option>
<option value="28">Botswana</option>
<option value="29">Bouvet Island</option>
<option value="30">Brazil</option>
<option value="31">British Indian Ocean Territory</option>
<option value="32">Brunei Darussalam</option>
<option value="33">Bulgaria</option>
<option value="34">Burkina Faso</option>
<option value="35">Burundi</option>
<option value="36">Cambodia</option>
<option value="37">Cameroon</option>
<option value="38">Canada</option>
<option value="39">Cape Verde</option>
<option value="40">Cayman Islands</option>
<option value="41">Central African Republic</option>
<option value="42">Chad</option>
<option value="43">Chile</option>
<option value="45">Christmas Island</option>
<option value="46">Cocos (Keeling) Islands</option>
<option value="47">Colombia</option>
<option value="48">Comoros</option>
<option value="49">Congo</option>
<option value="50">Cook Islands</option>
<option value="51">Costa Rica</option>
<option value="52">Cote D'Ivoire</option>
<option value="53">Croatia</option>
<option value="54">Cuba</option>
<option value="55">Cyprus</option>
<option value="56">Czech Republic</option>
<option value="57">Denmark</option>
<option value="58">Djibouti</option>
<option value="59">Dominica</option>
<option value="60">Dominican Republic</option>
<option value="62">Ecuador</option>
<option value="63">Egypt</option>
<option value="64">El Salvador</option>
<option value="65">Equatorial Guinea</option>
<option value="66">Eritrea</option>
<option value="67">Estonia</option>
<option value="68">Ethiopia</option>
<option value="69">Falkland Islands (Malvinas)</option>
<option value="70">Faroe Islands</option>
<option value="71">Fiji</option>
<option value="72">Finland</option>
<option value="73">France</option>
<option value="75">French Guiana</option>
<option value="76">French Polynesia</option>
<option value="77">French Southern Territories</option>
<option value="78">Gabon</option>
<option value="79">Gambia</option>
<option value="80">Georgia</option>
<option value="81">Germany</option>
<option value="82">Ghana</option>
<option value="83">Gibraltar</option>
<option value="84">Greece</option>
<option value="85">Greenland</option>
<option value="86">Grenada</option>
<option value="87">Guadeloupe</option>
<option value="88">Guam</option>
<option value="89">Guatemala</option>
<option value="90">Guinea</option>
<option value="91">Guinea-bissau</option>
<option value="92">Guyana</option>
<option value="93">Haiti</option>
<option value="94">Heard and Mc Donald Islands</option>
<option value="95">Honduras</option>
<option value="96">Hong Kong</option>
<option value="97">Hungary</option>
<option value="98">Iceland</option>
<option value="99">India</option>
<option value="100">Indonesia</option>
<option value="101">Iran (Islamic Republic of)</option>
<option value="102">Iraq</option>
<option value="103">Ireland</option>
<option value="104">Israel</option>
<option value="105">Italy</option>
<option value="106">Jamaica</option>
<option value="107">Japan</option>
<option value="108">Jordan</option>
<option value="109">Kazakhstan</option>
<option value="110">Kenya</option>
<option value="111">Kiribati</option>
<option value="112">Korea, Democratic People's Republic of</option>
<option value="113">Korea, Republic of</option>
<option value="114">Kuwait</option>
<option value="115">Kyrgyzstan</option>
<option value="116">Lao People's Democratic Republic</option>
<option value="117">Latvia</option>
<option value="118">Lebanon</option>
<option value="119">Lesotho</option>
<option value="120">Liberia</option>
<option value="121">Libyan Arab Jamahiriya</option>
<option value="122">Liechtenstein</option>
<option value="123">Lithuania</option>
<option value="124">Luxembourg</option>
<option value="125">Macao</option>
<option value="126">Macedonia, The Former Yugoslav Republic of</option>
<option value="127">Madagascar</option>
<option value="128">Malawi</option>
<option value="129">Malaysia</option>
<option value="130">Maldives</option>
<option value="131">Mali</option>
<option value="132">Malta</option>
<option value="133">Marshall Islands</option>
<option value="134">Martinique</option>
<option value="135">Mauritania</option>
<option value="136">Mauritius</option>
<option value="137">Mayotte</option>
<option value="138">Mexico</option>
<option value="139">Micronesia, Federated States of</option>
<option value="140">Moldova</option>
<option value="141">Monaco</option>
<option value="142">Mongolia</option>
<option value="143">Montserrat</option>
<option value="144">Morocco</option>
<option value="145">Mozambique</option>
<option value="146">Myanmar</option>
<option value="147">Namibia</option>
<option value="148">Nauru</option>
<option value="149">Nepal</option>
<option value="150">Netherlands</option>
<option value="151">Netherlands Antilles</option>
<option value="152">New Caledonia</option>
<option value="153">New Zealand</option>
<option value="154">Nicaragua</option>
<option value="155">Niger</option>
<option value="156">Nigeria</option>
<option value="157">Niue</option>
<option value="158">Norfolk Island</option>
<option value="159">Northern Mariana Islands</option>
<option value="160">Norway</option>
<option value="161">Oman</option>
<option value="162">Pakistan</option>
<option value="163">Palau</option>
<option value="164">Panama</option>
<option value="165">Papua New Guinea</option>
<option value="166">Paraguay</option>
<option value="167">Peru</option>
<option value="168">Philippines</option>
<option value="169">Pitcairn</option>
<option value="170">Poland</option>
<option value="171">Portugal</option>
<option value="172">Puerto Rico</option>
<option value="173">Qatar</option>
<option value="174">Reunion</option>
<option value="175">Romania</option>
<option value="176">Russian Federation</option>
<option value="177">Rwanda</option>
<option value="178">Saint Kitts and Nevis</option>
<option value="179">Saint Lucia</option>
<option value="180">Saint Vincent and the Grenadines</option>
<option value="181">Samoa</option>
<option value="182">San Marino</option>
<option value="183">Sao Tome and Principe</option>
<option value="184">Saudi Arabia</option>
<option value="185">Senegal</option>
<option value="236">Serbia</option>
<option value="186">Seychelles</option>
<option value="187">Sierra Leone</option>
<option value="188">Singapore</option>
<option value="189">Slovakia (Slovak Republic)</option>
<option value="190">Slovenia</option>
<option value="191">Solomon Islands</option>
<option value="192">Somalia</option>
<option value="193">South Africa</option>
<option value="194">South Georgia and the South Sandwich Islands</option>
<option value="195">Spain</option>
<option value="196">Sri Lanka</option>
<option value="197">St. Helena</option>
<option value="198">St. Pierre and Miquelon</option>
<option value="199">Sudan</option>
<option value="200">Suriname</option>
<option value="201">Svalbard and Jan Mayen Islands</option>
<option value="202">Swaziland</option>
<option value="203">Sweden</option>
<option value="204">Switzerland</option>
<option value="205">Syrian Arab Republic</option>
<option value="206">Taiwan</option>
<option value="207">Tajikistan</option>
<option value="208">Tanzania, United Republic of</option>
<option value="209">Thailand</option>
<option value="61">Timor-Leste</option>
<option value="210">Togo</option>
<option value="211">Tokelau</option>
<option value="212">Tonga</option>
<option value="213">Trinidad and Tobago</option>
<option value="214">Tunisia</option>
<option value="215">Turkey</option>
<option value="216">Turkmenistan</option>
<option value="217">Turks and Caicos Islands</option>
<option value="218">Tuvalu</option>
<option value="219">Uganda</option>
<option value="220">Ukraine</option>
<option value="221">United Arab Emirates</option>
<option value="222">United Kingdom</option>
<option value="224">United States Minor Outlying Islands</option>
<option value="225">Uruguay</option>
<option value="226">Uzbekistan</option>
<option value="227">Vanuatu</option>
<option value="228">Vatican City State (Holy See)</option>
<option value="229">Venezuela</option>
<option value="230">Viet Nam</option>
<option value="231">Virgin Islands (British)</option>
<option value="232">Virgin Islands (U.S.)</option>
<option value="233">Wallis and Futuna Islands</option>
<option value="234">Western Sahara</option>
<option value="235">Yemen</option>
<option value="238">Zambia</option>
<option value="239">Zimbabwe</option>
</select>
<span class="alert">*</span><br class="clearBoth" />
</fieldset>

<fieldset>
<legend>D&eacute;tails additionnels de contact</legend>
<label class="inputLabel" for="telephone">T&eacute;l&eacute;phone :</label>
<input type="text" name="telephone" size = "41" maxlength= "96" id="telephone" /><span class="alert">*</span>
</fieldset>


<fieldset>
<legend>D&eacute;tails de connection</legend>
<label class="inputLabel" for="email-address">Adresse E-mail :</label>
<input type="text" name="email_address" size = "41" maxlength= "288" id="email-address" /><span class="alert">*</span><br class="clearBoth" />


<label class="inputLabel" for="password-new">Mot de Passe :</label>
<input type="password" name="password" size = "21" maxlength= "120" id="password-new" /><span class="alert">* (au minimum 2 caract&egrave;res)</span><br class="clearBoth" />

<label class="inputLabel" for="password-confirm">Confirmation du mot de passe :</label>
<input type="password" name="confirmation" size = "21" maxlength= "120" id="password-confirm" /><span class="alert">*</span><br class="clearBoth" />
</fieldset>



</fieldset>

<div class="buttonRow forward"><input type="image" src="http://www.sellerwatch.ru/fr/includes/templates/polo/buttons/french/button_submit.gif" alt="soumettre" title=" soumettre " /></div>
</form>
</div>
</td>



</tr>
</table>
</div>


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