Sportscall User

Contact

User Registration

NAME

SURNAME

ID NUMBER

USERNAME

PASSWORD

CELL NO

TELEPHONE NO

E-MAIL ADDRESS

POSTAL ADDRESS

BILLING ADDRESS

BILLING NAME

BILLING CONTACT NUMBER

BILLING FAX NUMBER

BILLING E-MAIL ADDRESS

ACCOUNT NUMBER

BANK

BRANCH

BRANCH CODE

ACCOUNT HOLDER

PROMOTION CODE

I have read the rules and regulations. User agrees that all information supplied is accurate according to his knowledge and is older than 18 years of age.

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