Standard Registration

[[[["field34","equal_to","Pick Up"]],[["show_fields","field35"]],"and"],[[["field34","equal_to","Delivery"]],[["show_fields","field36"]],"and"],[[["field33","equal_to","Bank Transfer"]],[["show_fields","field48"]],"and"]]
1 Personal Information
2 Emergency contact
4 order details
5 Agreement
Personal Information

Sample info

Nomberfirst name
Famlast name
Fecha di nacementoDate of birth
Pais di nacementoCountry of birth
Nomber di CayaStreet name
Number di casHouse Number
Letter di casHouse Letter
Number di cellularcellphone no.
Telefon di cashome telephone no.
Bo email lo wordo usa solamente pa nos communica cu bo persona.
Contact di Emergenca/Emergency Contact
Number di emergencia ta wordo usa si algun emergencia pasa riba bus, pa nos por contact un persona pa informa e sucedido.
Nomber Completofull name
Number di contactcontact number


Instruction how to take pic

Order Details
Metodo di pagoPayment Method

Ora di hasi transfer via cuenta bancario, lo mester usa Order Number cu ricibi via email den e description di bo pago. Please manda nos un copia di e comprobante di e transfer.

Con kier recicibi SmartcardHow would like to receive your smartcard

Delivery of Smart will cost AWG 5,00 per Smartcard. If you agree with this charge please click on Submit Registration button below.

If you have any questions please contact us.

Smartcard Rules & Regulations

  1. Rules
  2. Rules
  3. Rules
  4. Rules
  5. Rules

Mi ta di acuerdoI agree
powered by FormCraft