Registration
Registration
Longrich Member
Longrich Membership Code
Enter your Membership Number
Location (City/Town)
Tell us the city where your business is located
Location (Region)
*
Location (Region)*
Ahafo
Ashanti
Bono
Central
Eastern
Greater Accra
North East
Northern
Oti
Savannah
Upper East
Upper West
Volta
Western
Western North
Referee( Name Two Star Directors)
Name of Star Director 1
Contact Number ( Star Director 1)
Required phone number format: (###) ###-####
Name of Star Director 2
Contact Number ( Star Director 2)
Required phone number format: (###) ###-####
First Name
Last Name
Gender
Gender
Male
Female
Say something About your self (one sentence max)
Contact Number
Required phone number format: (###) ###-####
Username
*
E-mail
*
Password
*
Minimum length of 3 characters.
Send these credentials via email.