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City *
Title
First Name  *
Middle Name
Last Name  *
Middle Name
Date of birth       * (DD/MMM/YYYY)
House/Bldg & Street * *
Additional Info
(door #, suite, apt #, etc.) 		* *
City/Town  *
Postcode/Zip Code * *
Email Address  * (Gmail Preferred)
This will be your Afro International user name
Confirm Email Address  *
Password
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Password should be 8 - 16 characters long including at least 1 number
Confirm New Password
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Phone (incl. area code)  *
Mobile  * (3012345678 - First digit should not be Zero.)
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