Removal Company Registration

Please complete the form below to register your company with the South African Furniture Removals Alliance.

IMPORTANT NOTICE:
Registration is ONLY open to Registered Furniture Removal Companies in South Africa.
Your company registration number is required and will be verified.
Your company must have been providing furniture removal services for more than 3 years.

Please enter/update your profile/company details below:

	Company Details									User Details
* Company Name									* First Name
* Company Reg. Nr.									* Last Name
* Website Address
	Email Addresses (for leads)									Email Address / Username
* Email 1									* E-mail Address
Email 2
									* Password
									* Confirm Password
	Contact Numbers
* Telephone 1										Contact Numbers
Telephone 2									* Telephone
* Cellphone									Cellphone
Fax Number									Fax Number
	Postal Address
* Address Line 1
Address Line 2
* Address Suburb
* Address Town
* Postal Code
	Type the number you see on this image in the text box below. (Required to avoid spam)
* Authorisation Key:	(8 Digit code from image above)
	By submitting this form you agree to our privacy policy and terms of use.
	I would like to receive newsletters from Furniture Removals Alliance.