SUPPORTER REGISTRATION

Fields marked with * are mandatory

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Details of person registering to support (You):

Name*
Mobile number*
Email*
Date of birth* (DD-MM-YYYY)
Gender* MaleFemale
Name of person you are supporting*
Select your Supporter Package* Supporter Package after 31 August - $480Cook Island Supporter after 31 August - $350

Note:
- Once you click submit, you are required to make full payment to the account details below