My Name and Address

You are registering into Tanzania store.

Please enter your name and address in the fields below. The fields marked with an are required.

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I accept terms and conditions

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Sponsor Information
Your sponsor will be:
MATEUSZ MORY]
Email mmoryn@gmail.com
ID# 480000100782
 

Step 1: Personal Information
Title  
* First Name  
Middle  
* Last Name  
* Birth Date  
Day Month Year
     
* ID/Passport No.  
* Newsletter Language

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Step 2: Contact Information
* Address 1  
  
  
  
* City  
* State  
* Country  
* Postal Code  

* Phone  
Alt Phone  
* Email  
* Confirm Email