Registration Title* Mr. Ms. Country* Other Albania Algeria Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Ascension Australia Austria Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile Christmas Island Cocos Colombia Comoros Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland French Guiana FYR Macedonia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guatemala Guinea Guinea-Bissau Haiti Heard and Mc Donald Islands Honduras Hungary Iceland Indonesia Ireland Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea,South Kuwait Kyrgyzstan Lao Peoples Democratic Republic Latvia Lesotho Libya Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Micronesia Federated States of Moldavia Monaco Mongolia Montenegro Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Qatar Reunion Romania Russian Federation Saint Kitts and Nevis Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Singapore Sint Maarten Slovakia Slovenia Solomon Islands South Africa Spain Sri Lanka St. Helena St. Lucia St. Pierre and Miquelon Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunesia Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates Uruguay Uzbekistan Vanuatu Vatican City State Venezuela Vietnam Virgin Islands Western Sahara Yemen Zambia Currency* Euro United States Dollar British Pound Bitcoin Malaysia Ringgit Mexico Peso New Zealand Dollar Philippines Peso Poland Zloty Romania New Leu Norway Krone Argentine Peso Russia Ruble Sweden Krona Singapore Dollar Thailand Baht Turkmenistani Manat Turkey Lira South Africa Rand Latvia Lat Lithuania Litas South Korea Won Australia Dollar Bulgaria Lev Brazil Real Canada Dollar Switzerland Franc China Yuan Renminbi Czech Republic Koruna Denmark Krone Hong Kong Dollar Croatia Kuna Hungary Forint Indonesia Rupiah India Rupee Icelandic Krona Japan Yen Tunisian Dinars Zimbabwean Dollar I am over 18 years old I have read and accepted T&C
