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1. First name
2. Last Name
3. Email Address
4. Password
5. Confirm password
6. Cell phone number
7. Telephone number
8. Company name
9. Website
10. Type of Company Establishment Event Activity B&B Guest Farm Guest House Lodge Pension Restcamp Self-Catering Tented Camp Hotel
11. Closest City/Town Windhoek Okahandja Rehoboth Gobabis Mariental Aranos Stampriet Tsumeb Oshakati Ondangwa Okaukuejo Outjo Namutoni Halali Ruacana Opuwo Sesfontein Uis Khorixas Omaruru Karibib Palmwag Grootfontein Otjiwarongo Tsumkwe Otavi Waterberg Swakopmund Walvis Bay Henties Bay Terrace Bay Torra Bay Mowe Bay Sesriem Maltahohe Solitaire Sossusvlei Keetmanshoop Luderitz Karasburg Oranjemund Noordoewer Fish River Canyon Rundu Katima Mulilo Bagani Kongola Kasane
12. Type the security code below to confirm you’re human: