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Personal Information
First Name*
Last Name*
E-mail*
Phone* Required phone number format: (###) ###-####
Password* Type your password. Minimum length of 8 characters.
The password must have a minimum strength of Weak.Strength indicator
Repeat Password* Type your password again.
Photo ID*Upload Upload a copy of your valid, Canadian government issued photo identification card. Your ID card MUST list your home address. We will only ship to the address listed on your ID card.
Are you a business?
- Yes
- No
Are you a private user interested in wholesale pricing?
- Yes
- No
Terms and Conditions*By submitting your application, you acknowledge that you have read and understand our Application Package, Privacy Policy, Terms of Use, and Registration Agreement thoroughly. You hereby agree to the terms and agreements of Culture Pens. You guarantee medical claims, or otherwise assumed statements of legal safety and hereby agree for yourself, your heirs and executive orders to waive any claims against Culture Pens and its staff.

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