Username
  ( username: at least 8 characters, no spaces, no special characters )
 Password
  ( password: at least 8 characters, no spaces, no special characters )
 First Name

 Middle Name

 Last Name

 Company

 Email Address
  ( please enter a VALID EMAIL ADDRESS )
 Telephone
  ( country code + area code + phone # )
 Cellphone
  ( country code + mobile # )
 Fax
  ( country code + area code + phone # )
 Address