PAPUA NEW GUINEA REGISTRATION FORM

Interested to Join

AIM GLOBAL PAPUA NEW GUINEA?

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Your Name*

First NameLast Name
Your Present Location:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Global Package is worth PGK 880.00

You can register up to maximum 7 accounts. Depends on your budget. Choose your Global package below.
I would like to START with *

1 Account PGK 8803 Account PGK 2,6407 Account PGK 6,160
SHIPPING DETAILS:

Please indicate your CORRECT details to prevent your package to put on hold. Please take note the list of areas that can be reached by TNT courier: JACKSONS AIRPORT, ALOTAU, BUKA, GOROKA, KAVIENG, KIMBE, KIUNGA, LAE, LIHIR, MANUS, MADANG, MT.HAGEN, POPONDETTA, RABAUL, TABUBIL, WEWAK, VANIMO. Shipment fee is PGK 80 per package. Delivery 7 to 14 working days. ( If Area is not covered with the delivery zone, choose PICK-UP at AIM GLOBAL OFFICE)
Choose one:*

TNT SHIPPINGPICK UP AT AIM GLOBAL OFFICE
RECEIVER:*

First NameLast Name
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
REGISTRATION Details:

Please indicate your COMPLETE NAME and BIRTHDATE. For your Registration Process.
COMPLETE NAME:*

First NameLast Name
Birth Date

MonthDayYear
TOTAL REGISTRATION:
Do not forget your TOTAL Amount
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Global Package is worth PGK 880.00