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ORDER INFORMATION
BILLING ADDRESS
All fields are required
Name of Institution:
Institution Type:
Select An Institution:
Accountant / Auditor
Banking Institution
Customs Clearing and Forwarding Agent
Dealer in Precious Metals and Stones
Estate Agent
Investment Manager
Legal Practitioner
Lending Institution
Long-term Insurance Broker
Long-term Insurer
Micro-Lender
NGO / NPO
Stockbroker
Trust and Company Service Provider
Unit Trust Manager
Contact Person's Name:
Email Address:
Contact Tel Number:
Street Address:
City / Town:
Select A City / Town:
Windhoek
Arandis
Aranos
Eenhana
Gobabis
Grootfontein
Helao Nafidi
Henties Bay
Karasburg
Karibib
Katima Mulilo
Keetmanshoop
Khorixas
Lüderitz
Mariental
Nkurenkuru
Okahandja
Okahao
Okakarara
Omaruru
Omuthiya
Ondangwa
Ongwediva
Oniipa
Opuwo
Oranjemund
Oshakati
Oshikuku
Otavi
Otjiwarongo
Outapi
Outjo
Rehoboth
Ruacana
Rundu
Swakopmund
Tsumeb
Usakos
Walvis Bay
P.O. Box / Private Bag:
Postal Code:
Select The Correct Postal Code:
I Agree to the
TERMS AND CONDITIONS
ORDER SUMMARY:
N$
100 Client Risk Assessments
50000.00
Sign-On Fee
1800.00
VAT (15%)
7770.00
TOTAL PAYABLE
59570.00
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THANK YOU FOR YOUR ORDER
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Marlene Miller Compliance Practitioners
RSKRater
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