Please make sure that all mandatory (marked with a *) are filled out properly. Invalid form values will be displayed in red.
Company (In case of Media / Service Provider):
*Country:
Windhoek
1st Floor
Channel Life Towers
39 Post Street Mall
Private Bag 13244
Windhoek, Namibia
Tel.: +264 61 2906000
Fax: +264 61 254848
Cape Town
Ground Floor
The Pinnacle
Burg Street
Cape Town, 8001
PO Box 739
Cape Town, 8000
South Africa
Tel: +27 21 4223298
Fax: +27 21 4225132
Johannesburg
Bryanston Gate Office Park, Block 4
Cnr Curzon & Main Rds, Bryanston West
PO Box 7, Cramerview, 2060
South Africa
Tel: +27 11 702 9602
Fax: +27 11 463 4830
Frankfurt
Schiller Strasse 42-44, D-60313
Frankfurt am Main, Germany
Tel.: +49 69 1337360
Fax: +49 69 13373615
London
c/o Hills Balfour Synergy
Colechurch House, 1 London
Bridge Walk
London, SE1 2SX
Tel: +44 (0) 20 – 7367 0962
Fax: +44 (0) 20 – 7407 3810