email@example.com         63784-74264         firstname.lastname@example.org
Ask your support team to create account for you. You are not able to signup from your end.
As your support team create account you will receive a email to verify your email address and agree term & conditions for activate your account.
After verify your email id and agree term & conditions, Now you are able to login with the login detail ( login id & password) you receive in email.