Registration Form

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Your details
Note: If you do not want your contact details to display on the web site, it is possible to hide them after you receive your account details.
Applying as:	« Registration Types Q & A
Company/Organisation Name:	(If applying as Company or Organisation)
Firstname:		Phone:
Family name:		Email:
Address:		Confirm Email:
Address (cont.):		Web site
Area/Suburb:
City/Town:
Postcode/Zip:
Tell us how you heard about Autochthon Bank & Trust and why you want to join:
Subject:

Offerings Please enter below details of the services and/or goods you will be offering. Please use the format shown. NB: Registrations with no offerings will not be considered. The Autochthon Bank & Trust is about giving as well as receiving. All rates must be expressed in Manna. A Dollar component is permissible but it should not exceed the Manna component. Please try to fill in all three offerings fields. You may edit these and add further offerings when you get your account. 1 Manna ($manna) ≈ 1 Dollar ($) « Offerings Q & A Click here to see what's available from Autochthon Bank & Trust
Example: Massage	I do full body, deep-tissue massage.	$manna40 / hour
Heading:	Details:	Rate:
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Wants: You may optionally enter any wants or requirements that you might have.
Example: Bed and mattress	I am looking for a full-sized, single-width bed and mattress. Anyone have one?
Heading:	Details:
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