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Name (mandatory)

Firstname (mandatory)

E-mail (mandatory)

Date of birth (mandatory)

Password (mandatory)
This password has to:
- have a length between 8 and 50 characters
- contain almost one number
- contain almost one uppercase letter
- Contenir au moins 1 minuscule
- contain almost of of thos characters: !@#$%-_

Password (checking)

Telephone number

Full address (mandatory)

I have read and accept the contest rules

Password forgotten!