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New Member Registration

  • To be able to shop on this online shop or te be part of the marketing opportunity you must register with Go Mushroom.
  • A small registration fee of R 50.00 is payable to complete the process.
  • To register with Go Mushroom, please complete the form below, then submit it and if you have a credit card, you can proceed to our secure payment page.
  • If not, please deposit the registration fee into our bank account. The bank account number will be supplied at the end of the registration process.
  • Fields marked with an * are mandatory and need to be filled in.
Not Referred by Sponsor
Referred by Sponsor No
First name * Surname *
ID Number * Choose a Password*
Postal Address *
(Please enter the correct number,street/box, suburb,city and postal code)
Delivery Address
(Please enter the correct number,street/box, suburb,city and postal code)
Mobile Number * Telephone
Fax Number Email *
Deliver between

To pay Commissions we need your Banking Details *

Bank
Branch Name Branch Code
Account Holder
Account No Acc Type
By clicking on the Register button below, you hereby agree/accept the terms and conditions governing this offer.