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Create New Maisha Account
Please complete the form below to create a Maisha Account. This account will allow you to activate and manage your Maisha Covers.
Your Email Address will be your Login ID. Please Note: All fields are required
First Name
Last Name
Email Address (Login ID)
Telephone / Mobile Number
   
Type in your Preferred Password
Confirm your Password

How did you hear about us?
(Optional)


  Age Verification
I Agree that I'm 18 years
and above
I am not a Robot
Please enter the verification
code to prove you are human
   






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