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<div class="centerColumn" id="createAcctDefault"> <h1 id="createAcctDefaultHeading">Meine Kontoinformationen</h1> <form name="create_account" action="http://de.jerseysforsalestore.com/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">Achtung:</strong> Sollten Sie bereits bei uns registriert sind, melden Sie sich bitte <a href="http://de.jerseysforsalestore.com/index.php?main_page=login">hier an</a>.</h4> <fieldset> <legend>Ihre persönlichen Angaben</legend> <div class="alert forward">* = Pflichtfeld</div> <br class="clearBoth" /> <fieldset> <legend>Bitte tragen Sie Ihre Adressangaben ein</legend> <label class="inputLabel" for="firstname">Vorname:</label> <input type="text" name="firstname" size = "41" maxlength= "96" id="firstname" /><span class="alert">*</span><br class="clearBoth" /> <label class="inputLabel" for="lastname">Nachname:</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">Straße:</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">Ort:</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">Bundesland:</label> <select name="zone_id" id="stateZone"> <option value="" selected="selected">Bitte wählen Sie ...</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">Postleitzahl:</label> <input type="text" name="postcode" size = "31" maxlength = "30" id="postcode" /><span class="alert">*</span><br class="clearBoth" /> <label class="inputLabel" for="country">Land:</label> <select name="zone_country_id" id="country" onchange="update_zone(this.form);"> <option value="">Bitte wählen Sie Ihr Land</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&#039;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&#039;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&#039;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 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