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Please Note: You must be at least 14 years of age to have a My.Intellipups account. If you are creating a web site for your pet, use your own personal information for the signup, but your pet's name for the username.
Your Username and Password must each contain at least 6 characters, and only contain letters and numbers!
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Username: *  
E-mail address: (6 character minimum)* Public Private
Password (6 character minimum): *
Confirm password: *

Profile Information
Information you mark as Private will only be available to other members.
Real First Name: * [Public]
Real Last Name: * [Never Displayed]
Gender: [Public]
Birth Date*  /   /   (mm/dd/yyyy) Public Private
My Occupation: Public Private
Business/Org Name: Public Private
Country: *  
State (for U.S):  
ZIP/Postal Code:  
Site Purpose: (Individual)  

Contact Information
Skype: Public Private
Google Talk: Public Private
AIM Address: Public Private
MSN Messenger: Public Private
Yahoo Messenger: Public Private
Website: [Public]

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