Well it sounds like that's a Canadian sign up page. But if it isn't the last field is probably for customers that don't have a 6 digit code. Just put in the first 3 letters/numbers of your code, and then continue until you've completed it in the next box (you may not fill it up).
About the Region, if yours isn't there, is there an Other selection?
If all else fails, see if you can see something near the top of the page that lets you choose your country, because it sounds like a region specific page which will usually change when you select a different country.
Good luck!
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