| Source | Translation | State | |
|---|---|---|---|
| 26 |
Pending Review
|
|
|
| 27 |
Country
|
Pays
|
|
| 28 |
Choose your country
|
|
|
| 29 |
State/Zone
|
|
|
| 30 |
City
|
Ville
|
|
| 31 |
Address 1
|
|
|
| 32 |
Address 2
|
|
|
| 33 |
ZIP Code/Postal Code
|
Code postal
|
|
| 34 |
Phone Number
|
|
|
| 35 |
Fax
|
|
|
| 36 |
Mobile Number
|
|
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