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In order to register to join the Diamond Access Artisan Mining Network, please complete and submit the information in the form provided below:

Your Name:   Title / Position:
Company Name:   Phone & Extension:
Mailing Address:   Web Site Address:
City / Town:   Product Category:
State / Province / Prefecture:   Product Name:
Country:   Product Quantity:
      Product Quality:
Emergency Contact:   Monthly Delivery Request:
Email Address (Username):   Preferred contact method: or
Desired Password:   Re-Enter Desired Password:

In order to expedite access to the Miner's Information Area, please insure to enter your Email Address (Username) and Password correctly. Also, please make sure to provide all information requested in the form above. Incomplete or missing information may cause processing delays.

Thank you,

Diamond Access Management Team


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