First Name *

Last Name *

Username *

Email Address *

Contact Number

Account Type * -- Select Account Type -- Government User Buy Back Centre Government users can view all centers. Buy Back Centre users work for specific centers.

Company Name * This will be your Buy Back Centre name

Company Address * Full physical address of your Buy Back Centre

Municipality * Name of the municipality or local government

Department Name * Government department or division

Address * Full physical address of government office

Province * -- Select Province -- Eastern Cape Free State Gauteng KwaZulu-Natal Limpopo Mpumalanga Northern Cape North West Western Cape Select your province

Password * Minimum 8 characters

Confirm Password *

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