Become a Supporter

Full Name*
First NameSurname
Email Address*
Enter EmailConfirm Email
Are you from Namibia?*
- Yes
- No
Cellphone Number*
Enter Cellphone
Confirm Cellphone
Landline Number
Password*
Create your Own Password of at least 8 characters
Enter PasswordConfirm Password
Strength indicator
Type of Supporter*
- Donor - Donate a shoebox
- Volunteer - Volunteer your time
- Facility - You'd like to receive shoeboxes
Suburb / Area*
City / Town*
Province*
Drop Off*
Drop Off where you will deliver your Shoeboxes, or where you will volunteer to assist in our project

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