Please Complete the form below and submit it.
* Field must be completed!
Company name*
Contact Person*
Street*
P O Box*
City/Town*
Country*
Tel*
Fax
Mobile Tel
E-Mail*
Internet
Branches
Short Discription
or Profile of Company*
References
   
Service & pricing options (prices excl. VAT)
Choose ONE of the two options below:
NLB File card
& Membership
Initial N$ 750.00 plus one option below:
OR
 
LBN Website
& Membership
Initial N$ 1800.00 plus one option below:
Possible domain
(i.e. www.your-company-name.com)
I have read, understood and now accept letsbuildnamibia.com terms and conditions for LBN services.