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Personal details:
Title
Adv.
Dr.
Master
Mr.
Mrs.
Ms.
Prof.
Rev.
First Name is required
Surname is required
A valid ID Number is required
A valid mobile number is required. 10 digits only
A valid e-mail address is required
Address Details
Where the services shall be activated in future:
An address is required
Suburb is required
City is required
Choose province
Eastern Cape
Free State
Gauteng
Kwazulu Natal
Limpopo
Mpumalanga
North West
Northern Cape
Western Cape
South Africa
Postal code is required. 4 digits required.
Delivery Address Details
Same as above address?
Where we will delivery your stuff:
An address is required
Suburb is required
City is required
Choose province
Eastern Cape
Free State
Gauteng
Kwazulu Natal
Limpopo
Mpumalanga
North West
Northern Cape
Western Cape
South Africa
Postal code is required. 4 digits required.
Password
To login to the customer portal, we require you to create a password
Password must contain at least one number and one uppercase and lowercase letter, and at least 8 or more characters
This password should match the original password entered
Token
Did you receive a token to use during registration?
This token is not valid
Payment
Please select a preferred payment day (for when payment is due)
1st
5th
15th
25th
A preferred payment day must be specified. Select one of the four options provided.
Referral Partner Code
Please enter the code of the partner who referred you to Userverse
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