PORTAL_REGISTRATION

PORTAL_NOT_YET_REGISTERED

GENERAL_INFO
PORTAL_MEMBER_TYPE  * 
APB  *  PORTAL_VB_APB_NR
PORTAL_APB_PHARMACY  * 
PORTAL_MEMBER_PHARMACY
PORTAL_MEMBER_LAST_NM_TIT PORTAL_MEMBER_LAST_NM  * 
PORTAL_MEMBER_FIRST_NM_TIT PORTAL_MEMBER_FIRST_NM  * 
PORTAL_MEMBER_GENDER  * 
PORTAL_MEMBER_LANGUAGE  * 
PORTAL_MEMBER_COUNTRY_CD  * 
PORTAL_MEMBER_VAT_NR  * 
CUSTOMER_GROUP  * 
ADDRESS_INFO
PORTAL_MEMBER_ADDRESS  * 
PORTAL_MEMBER_POSTCODE  * 
PORTAL_MEMBER_CITY  * 
CONTACT_INFO
PORTAL_MEMBER_PHONE_NR  * 
PORTAL_MEMBER_FAX_NR
PORTAL_MEMBER_EMAIL  * 
 
PORTAL_FAST_ACCESS
PORTAL_MEMBER_MOBILE_NR
PRIVACY_INFO
ACCEPT_MAILING_CONDITIONS
 
 
PORTAL_CANCEL