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The form below allows you to create a profile which is necessary to place orders. Do not forget that this information is essential to use our services correctly. PLEASE NOTE: if you are unable to locate your state on the list we are currently unable to ship to your address. Please e-mail support@channel69shopping.com if you have any questions.

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Profile details
Personal information
Title  
First Name *
Last Name *
Billing Address
Address *
Address (line 2)  
City *
State *
Country *
Zip/Postal code *

 


Address  
Address (line 2)  
City  
State  
Country  
Zip/Postal code  
Contact Information
E-Mail *
Username & Password
Username *
Password *
Confirm Password *


Clicking "SUBMIT" you agree with our "Terms & Conditions" and certify you are over 18
 
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Information

We recommend that your password should be at least 5 characters long and should be different from your username.

Your e-mail address must be valid. We use e-mail for communication purposes (order notifications, etc). Therefore, it is essential to provide a valid e-mail address to be able to use our services correctly.

All your private data is confidential. We will never sell, exchange or market it in any way.
For further information on the responsibilities of both parts, you may refer to our
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