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Mbarara Marketplace Community

Welcome, and we’re glad you’ve shown interest in the Marketplace Community.

This Registration form is intended to help us get to know you and plug you into the community in order to stay connected and engaged within the Marketplace.

Please take a moment to complete the form with the relevant detail.

Name

*

Gender

*

Age Range

*

Age Range

A

Below 18

B

19-25

C

26-35

D

36-45

E

46-55

F

Above 55

Phone Contact

*

Email Address

*

Profession

*

Which of these best apply to who you are?

*

Please select one that applies to you.