Country Reserve Association
Country Reserve Association
Personal Registration Form

Data protection declaration: data will not be published. Any data provided is for internal use only.
The required minimum age is 14.

• One registration per person only! A person may just register one ID-Name. At multiple registration all will be deleted, no refund whatsoever.
• True information required! At false information the registration will be deleted, no refund whatsoever.

The registration includes a free personal account at Coresbank

First name:*
Family name:*

Residential Address:
Street, Number:*
Postcode:*
City:*

Region*

State

Country*



Date of birth:*
Year Month Day
Sex:* Male Female
Email address*
SMS (mobile phone number)*


ID-name:*
Your name to the public
A word with small latin letters a-z
may include numbers (but no 0 at the beginning) and -
3 to 20 characters



Password:*
3 to 30 any characters (no zero at the beginning)
Retype password:*

Login number:*
4 to 8 digits
no zero at the beginning

* Required



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