Registration Form
Do you have sponsor code?:   
Sponsor's Code: Sponsor's Name:
Username:   Mobile No(e.g 2348036005577):  
Surname:   Firstname:  
Sex:   Date of Birth DD/MM/YYYY:
Email:     Country:
Address Line 1 (Street):   Address Line 2 (Area/Location):  
Address Line 3 (Town/City):   State:  
Next of Kin Name: Next of Kin Mobile No
Payment Details
Bank:   Mode of Payment:  
Teller/Cheque No:   Date Paid DD/MM/YYYY:
Type of Network: Medal/Laptop Type:  
Amount Paid:    

I have read the Terms and agreement and agree to be bound by them

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Contact Us

FLIPCONNECT Support Office

Plot 24b (2nd floor), Gbemisola house,Omole bus stop, Ojodu-Berger, Ikeja, Lagos, Nigeria.

Hotlines: +234 806 9606 633,
      +234 803 7100 377
Email: flipconnect@gmail.com ,       flipconnectcomm@gmail.com