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Address Validation  
 
   
 
   
 
Create a Bidder Account
    Account Information
Usercode (a-z,A-Z,1-9 only - no spaces)  
Password  
Confirm Password  
    Personal Information
First Name  
Last Name  
eMail  
Phone Number (xxx-xxx-xxxx)  
Receive Notices/Updates via eMail?
 
    Billing Information
Credit Card Type  
Card Number  
Card Expiration           
  / 
 
3 Character Security Code  
  
Address Line 1
Address Line 2
City
State/Territory
ZIP/Postal Code
Quilt(s) Delivery Method
Please select how you wish to receive your quilt
(You may change this at any time)