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Afremit Service Provider Interest Form

Welcome! This form is for education, healthcare and home construction entities who wish to register as verified service providers with, on the platform in order to recieve diaspora-backed payments for education, medical care, construction and other vital services.

Please complete the form below to join our waiting list in preparation for launch.

Full Names

Organization Name

Untitled multiple choice field
A
B
C
D

Country

City/Town

Website or Social page

Email

Phone/WhatsApp

Would you like to receive international payments?

Would you like to receive international payments?
A
B

Interested in secure service based payments?

Interested in secure service based payments?
A
B

How did you hear about Afremit?

How did you hear about Afremit?
A
B
C