Registration Form

On completion of the form press the "submit" button below. All fields are mandatory except the mobile and fax numbers although we would like these as well if you have them

If you have not paid the registration fee yet please do so now before proceeding by clicking on the "payment options" button below.

 

Choose a Password max of ten digits, made up of text plus integers only
First name
Last name
Title
Tel No (No gaps between num)

Mobile No (no gaps between num)
Email address
Fax No (No gaps between Num)
Establishment name
Category
Web site
Establishments physical addr
 
 
Postal code
Province/County
Country

Months you are prepared to take bookings

 
Brief description of premises

Indicate who introduced you to Accom Swap(first and last names and if possible their email addrs) If not applicable enter "no one "

 
Registration joining fee

If you haven't paid the registration joining fee yet press [here Payment Options and then return to this form and submit .

 

 
I have read,understood and agree to abide by
The "Agreement & Code of Practice"
I am available for local swapping within my own country only
I am available to swap both locally and internationally

type the answer to the following question into the adjacent box.VERY IMPORTANT type ONLY in small letters (no capitals)

A dog wags it's............
Press here to reset page
Press here to submit form

If you are having difficulty in submitting the form

you can contact us at: mikekie@global.co.za for attention Web Master