Submitting

${ customer_registration_text.general.title }

${ customer_registration_text.general.popup_message_user } ${ userID }

${ customer_registration_text.general.popup_success_message }

${ errorMessages }

${ customer_registration_text.fields.label_store } *

${ customer_registration_text.fields.label_title } *

${ customer_registration_text.errors.required_title }

${ customer_registration_text.fields.label_first_name } *

${ customer_registration_text.errors.required_first_name }

${ customer_registration_text.fields.label_last_name } *

${ customer_registration_text.errors.required_last_name }

${ customer_registration_text.fields.label_dob } *

${ customer_registration_text.errors.required_date_of_birth }

${ customer_registration_text.errors.error_date_of_birth }

${ customer_registration_text.fields.label_gender } *

${ customer_registration_text.errors.required_gender }

${ customer_registration_text.fields.label_email } *

${ customer_registration_text.errors.required_email }

${ customer_registration_text.errors.error_email }

${ customer_registration_text.fields.label_mobile } *

${ customer_registration_text.errors.required_mobile }

${ customer_registration_text.errors.mobile_error }

${ customer_registration_text.fields.label_postcode } *

${ customer_registration_text.errors.required_postcode }

${ customer_registration_text.errors.error_postcode }

${ customer_registration_text.fields.label_here_for_eye_test }

${ customer_registration_text.fields.label_medicare_num }

${ customer_registration_text.errors.required_medicare_number }

${ customer_registration_text.errors.error_medicare_number }

${ customer_registration_text.fields.label_medicare_ref }

${ customer_registration_text.errors.required_medicare_refno }

${ customer_registration_text.fields.label_medicare_expiry }

${ customer_registration_text.errors.required_medicare_expiry }

${ customer_registration_text.errors.error_medicare_expiry }

${ customer_registration_text.fields.label_have_health_fund }

${ customer_registration_text.fields.label_health_fund }

${ customer_registration_text.errors.required_health_fund }

${ customer_registration_text.fields.label_comm_preference }