Home
Reset Password
Register
Register
Personal Details
Card Number
To register a pre-printed membership card, enter the number as printed on the card here or scan the cards QR code.
Title:
Miss
Mr
Mrs
Title:
Gender:
Female
Male
Gender:
First Name/Given Name:
*
Last Name/Family Name:
*
Date of Birth:
*
ID Number:
Passport Number:
Country of Issue:
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Anguilla/St Kitts-Nevis
Antarctica
Antigua Et Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahamas incl Garnd Bah
Bahrain
Bangladesh
Barbados
Bashkortostan
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire
Bosnia Herzegovina
Bosnia and Herzegowina
Botswana
Bouvet Iscountry
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Island
Colombia
Comoros Islands
Congo (Brazza)
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic People's Republic of Korea
Denmark
Denmark incl Faeroe Islands
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands/ Malvinas
Faroe Island
Federated States of Micronesia
Fiji Islands
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Gaza
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe incl St Mar
Guam
Guatemala
Guinea
Guinea Bissau
Guyana
Haiti
Heard and Mc Donald Island
Held Territories
Honduras
Hong Kong
Hungary
Iceland
India
Indian Ocean Islands
Indonesia
Iran
Iraq
Irecountry
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Lettonie
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxenbourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia. Federated
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Ireland
Northern Mariana Islands
Norway
Oman
Ouzbekistan
Pakistan
Palestinian Territory
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Polynesie Francaise
Portugal
Puerto Rico
Qatar
Republic of Ireland
Republic of Korea
Republic of Marshall Islands
Republic of Moldova
Republic of Palau
Republic of The Congo
Republic of Yemen
Reunion
Romania
Russia
Russian Federation
Rwanda
Saba
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and The Grenadines
Samoa
Samoa. American
Samoa. Western
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles Islands
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and The South Sandwich Island
South Sudan
Spain
Sri Lanka
St Eustatius
St Pierre Et Miquelon
St Vincent The Grena
St. Maarten
Sudan
Suriname
Svalbard and Jan Mayen Island
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Tchad
Thailand
The Former Yugoslav Republic of Macedonia
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United Republic of Tanzania
United States
United States Minor Outlying Island
Unknown
Uruguay
Uzbekistan
Vanuatu
Vatican City State (Holy See)
Venezuela
Vietnam
Virgin Island (British)
Virgin Island (U.S.)
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Country of Issue:
Expiry Date:
Favourite Mica Store
*
Ace Mica Dundee
Action Mica
Airfield Mica Hardware
Amper Alles Mica Groblersdal
Amper Alles Mica Rayton Mica
Amper Alles Mica Silver Lakes
Bela Bela Mica Paint & Hardware
Benoni Mica Hardware
Bracken Mica Brackenfell
Bramley Mica
Burgers Mica
Central Mica Hardware
Dick and Allsop Mica
Durban North Mica
Ermelo Mica
Estcourt Mica
Greenfield Mica
Hayfields Mica Hardware
Head Office
Heqlen Mega Mica
Hewitt Street Mica Hardware
Highveld Mica
Houtbay Mica
Kendal Mica Hardware
Kungwini Mica
Ladysmith Mica
Langebaan Mica Paint & Hardware
Lenasia Mica Build
Lenasia Mica Paint and Hardware
Meyerspark Mica
Meyerton Mica Hardware
Middelburg Mica
Midway Mica
Millside Mica Paint & Hardware
Morning Glen Mica Paint and Hardware
Parkrand Mica
Parlock Mica
Parys Mica Paint & Hardware
Petit Mica
Phutas Mica Paint & Hardware
Rant en Dal Mica
Ridge Mica
Riverside Mega Mica
Roys Mica Paint and Hardware
Solomons Mica
Spargo Mica
Spiro's Mica
St Helena Mica
The Square Mica Paint & Hardware
Three Rivers Mica
U-Build Mica Paint & Hardware
Volksrust Mica
Vredenburg Mica Paint and Hardware
Walmer Mica Paint Centre
Waterfall Mica
Favourite Mica Store
Referring Account Number:
Postal Address:
Country:
*
South Africa
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Anguilla/St Kitts-Nevis
Antarctica
Antigua Et Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahamas incl Garnd Bah
Bahrain
Bangladesh
Barbados
Bashkortostan
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire
Bosnia Herzegovina
Bosnia and Herzegowina
Botswana
Bouvet Iscountry
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Island
Colombia
Comoros Islands
Congo (Brazza)
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic People's Republic of Korea
Denmark
Denmark incl Faeroe Islands
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands/ Malvinas
Faroe Island
Federated States of Micronesia
Fiji Islands
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Gaza
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe incl St Mar
Guam
Guatemala
Guinea
Guinea Bissau
Guyana
Haiti
Heard and Mc Donald Island
Held Territories
Honduras
Hong Kong
Hungary
Iceland
India
Indian Ocean Islands
Indonesia
Iran
Iraq
Irecountry
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Lettonie
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxenbourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia. Federated
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Ireland
Northern Mariana Islands
Norway
Oman
Ouzbekistan
Pakistan
Palestinian Territory
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Polynesie Francaise
Portugal
Puerto Rico
Qatar
Republic of Ireland
Republic of Korea
Republic of Marshall Islands
Republic of Moldova
Republic of Palau
Republic of The Congo
Republic of Yemen
Reunion
Romania
Russia
Russian Federation
Rwanda
Saba
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and The Grenadines
Samoa
Samoa. American
Samoa. Western
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles Islands
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Georgia and The South Sandwich Island
South Sudan
Spain
Sri Lanka
St Eustatius
St Pierre Et Miquelon
St Vincent The Grena
St. Maarten
Sudan
Suriname
Svalbard and Jan Mayen Island
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Tchad
Thailand
The Former Yugoslav Republic of Macedonia
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United Republic of Tanzania
United States
United States Minor Outlying Island
Unknown
Uruguay
Uzbekistan
Vanuatu
Vatican City State (Holy See)
Venezuela
Vietnam
Virgin Island (British)
Virgin Island (U.S.)
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Country:
Province/State:
*
Province/State:
City/Town:
*
City/Town:
Area/Locality/Suburb:
*
Area/Locality/Suburb:
Pin Code/Zip Code:
*
Address Line 1:
Address Line 2:
Contact Details
Mobile Number:
*
South Africa (+27)
United States (+1)
Afghanistan (+93)
Albania (+355)
Algeria (+213)
Andorra (+376)
Angola (+244)
Anguilla (+1)
Anguilla/St Kitts-Nevis (+1)
Antigua Et Barbuda (+1)
Argentina (+54)
Armenia (+374)
Aruba (+297)
Australia (+61)
Austria (+43)
Azerbaijan (+994)
Bahamas incl Garnd Bah (+1)
Bahrain (+973)
Bangladesh (+880)
Barbados (+1)
Belarus (+375)
Belgium (+32)
Belize (+501)
Benin (+229)
Bermuda (+1)
Bhutan (+975)
Bolivia (+591)
Bosnia Herzegovina (+387)
Botswana (+267)
Brazil (+55)
British Virgin Isl (+1)
Brunei (+673)
Bulgaria (+359)
Burkina Faso (+226)
Burundi (+257)
Cambodia (+855)
Cameroon (+237)
Canada (+1)
Cape Verde (+238)
Cayman Isl (+1)
Central African Repub (+236)
Chile (+56)
China (+86)
Colombia (+57)
Comoros Isl (+269)
Congo (Brazza) (+242)
Congo The Democratic Rep (+243)
Cook Isl (+682)
Costa Rica (+506)
Cote D'Ivoire (+225)
Croatia (+385)
Cuba (+53)
Cyprus (+357)
Czech Republic (+420)
Dem.People's Rep.Of Korea (+850)
Denmark incl Faeroe Isl (+45)
Djibouti (+253)
Dominica (+1)
Dominican Republic (+1)
Ecuador (+593)
Egypt (+20)
El Salvador (+503)
Equatorial Guinea (+240)
Eritrea (+291)
Estonia (+372)
Ethiopia (+251)
Falkland Isl/ Malvinas (+500)
Fiji Islands (+679)
Finland (+358)
France (+33)
French Guiana (+594)
French Polynesia (+689)
Gabon (+241)
Gambia (+220)
Georgia (+995)
Germany (+49)
Ghana (+233)
Gibraltar (+350)
Greece (+30)
Greenland (+299)
Grenada (+1)
Guadeloupe incl St Mar (+590)
Guam (+1)
Guatemala (+502)
Guinea (+224)
Guinea Bissau (+245)
Guyana (+592)
Haiti (+509)
Honduras (+504)
Hong Kong (+852)
Hungary (+36)
Iceland (+354)
India (+91)
Indonesia (+62)
Iran (+98)
Iraq (+964)
Ireland Rep of (+353)
Israel (+972)
Italy (+39)
Jamaica (+1)
Japan (+81)
Jordan (+962)
Kazakhstan (+7)
Kenya (+254)
Kiribati (+686)
Kuwait (+965)
Kyrgyzstan (+996)
Laos (+856)
Lebanon (+961)
Lesotho (+266)
Lettonie (+371)
Liberia (+231)
Libyan Arab Jamahiriya (+218)
Liechtenstein (+423)
Lithuania (+370)
Luxenbourg (+352)
Macau (+853)
Madagascar (+261)
Malawi (+265)
Malaysia (+60)
Maldives (+960)
Mali (+223)
Malta (+356)
Marshall Isl Rep of (+692)
Martinique (+596)
Mauritania (+222)
Mauritius (+230)
Mayotte / Reunion (+262)
Mexico (+52)
Micronesia. Federated (+691)
Moldova (+373)
Monaco (+377)
Mongolia (+976)
Montserrat (+1)
Morocco (+212)
Mozambique (+258)
Myanmar (+95)
Namibia (+264)
Nauru (+674)
Nepal (+977)
Netherlands (+31)
Netherlands Antilles (+599)
New Caledonia (+687)
New Zealand (+64)
Nicaragua (+505)
Niger (+227)
Nigeria (+234)
Northern Ireland (+44)
Northern Mariana Isl (+1)
Norway (+47)
Oman (+968)
Ouzbekistan (+998)
Pakistan (+92)
Palau Rep of (+680)
Panama (+507)
Papua New Guinea (+675)
Paraguay (+595)
Peru (+51)
Philippines (+63)
Poland (+48)
Polynesie Francaise (+689)
Portugal (+351)
Qatar (+974)
Republic of Korea (+82)
Republic of Yemen (+967)
Reunion / Mayotte (+262)
Romania (+40)
Russia (+7)
Rwanda (+250)
Saint Lucia (+1)
Samoa. American (+1)
Samoa. Western (+685)
San Marino (+378)
Sao Tome and Principe (+239)
Saudi Arabia (+966)
Senegal (+221)
Seychelles Isl (+248)
Sierra Leone (+232)
Singapore (+65)
Slovakia (+421)
Slovenia (+386)
Solomon Isl (+677)
South Sudan (+211)
Spain (+34)
Sri Lanka (+94)
St Pierre Et Miquelon (+508)
St Vincent The Grena (+1)
Sudan (+249)
Suriname (+597)
Swaziland (+268)
Sweden (+46)
Switzerland (+41)
Tajikistan (+992)
Tanzania (+255)
Tchad (+235)
Thailand (+66)
Togo (+228)
Tonga (+676)
Tunisia (+216)
Turkey (+90)
Turkmenistan (+993)
Turks and Caicos Isl (+1)
Tuvalu (+688)
Uganda (+256)
Ukraine (+380)
United Arab Emirates (+971)
United Kingdom (+44)
Uruguay (+598)
Uzbekistan (+998)
Vanuatu (+678)
Venezuela (+58)
Viet Nam (+84)
Wallis and Futuna Isl (+681)
Zambia (+260)
Zimbabwe (+263)
Mobile Number:
Number
*
Home Number:
South Africa (+27)
United States (+1)
Afghanistan (+93)
Albania (+355)
Algeria (+213)
Andorra (+376)
Angola (+244)
Anguilla (+1)
Anguilla/St Kitts-Nevis (+1)
Antigua Et Barbuda (+1)
Argentina (+54)
Armenia (+374)
Aruba (+297)
Australia (+61)
Austria (+43)
Azerbaijan (+994)
Bahamas incl Garnd Bah (+1)
Bahrain (+973)
Bangladesh (+880)
Barbados (+1)
Belarus (+375)
Belgium (+32)
Belize (+501)
Benin (+229)
Bermuda (+1)
Bhutan (+975)
Bolivia (+591)
Bosnia Herzegovina (+387)
Botswana (+267)
Brazil (+55)
British Virgin Isl (+1)
Brunei (+673)
Bulgaria (+359)
Burkina Faso (+226)
Burundi (+257)
Cambodia (+855)
Cameroon (+237)
Canada (+1)
Cape Verde (+238)
Cayman Isl (+1)
Central African Repub (+236)
Chile (+56)
China (+86)
Colombia (+57)
Comoros Isl (+269)
Congo (Brazza) (+242)
Congo The Democratic Rep (+243)
Cook Isl (+682)
Costa Rica (+506)
Cote D'Ivoire (+225)
Croatia (+385)
Cuba (+53)
Cyprus (+357)
Czech Republic (+420)
Dem.People's Rep.Of Korea (+850)
Denmark incl Faeroe Isl (+45)
Djibouti (+253)
Dominica (+1)
Dominican Republic (+1)
Ecuador (+593)
Egypt (+20)
El Salvador (+503)
Equatorial Guinea (+240)
Eritrea (+291)
Estonia (+372)
Ethiopia (+251)
Falkland Isl/ Malvinas (+500)
Fiji Islands (+679)
Finland (+358)
France (+33)
French Guiana (+594)
French Polynesia (+689)
Gabon (+241)
Gambia (+220)
Georgia (+995)
Germany (+49)
Ghana (+233)
Gibraltar (+350)
Greece (+30)
Greenland (+299)
Grenada (+1)
Guadeloupe incl St Mar (+590)
Guam (+1)
Guatemala (+502)
Guinea (+224)
Guinea Bissau (+245)
Guyana (+592)
Haiti (+509)
Honduras (+504)
Hong Kong (+852)
Hungary (+36)
Iceland (+354)
India (+91)
Indonesia (+62)
Iran (+98)
Iraq (+964)
Ireland Rep of (+353)
Israel (+972)
Italy (+39)
Jamaica (+1)
Japan (+81)
Jordan (+962)
Kazakhstan (+7)
Kenya (+254)
Kiribati (+686)
Kuwait (+965)
Kyrgyzstan (+996)
Laos (+856)
Lebanon (+961)
Lesotho (+266)
Lettonie (+371)
Liberia (+231)
Libyan Arab Jamahiriya (+218)
Liechtenstein (+423)
Lithuania (+370)
Luxenbourg (+352)
Macau (+853)
Madagascar (+261)
Malawi (+265)
Malaysia (+60)
Maldives (+960)
Mali (+223)
Malta (+356)
Marshall Isl Rep of (+692)
Martinique (+596)
Mauritania (+222)
Mauritius (+230)
Mayotte / Reunion (+262)
Mexico (+52)
Micronesia. Federated (+691)
Moldova (+373)
Monaco (+377)
Mongolia (+976)
Montserrat (+1)
Morocco (+212)
Mozambique (+258)
Myanmar (+95)
Namibia (+264)
Nauru (+674)
Nepal (+977)
Netherlands (+31)
Netherlands Antilles (+599)
New Caledonia (+687)
New Zealand (+64)
Nicaragua (+505)
Niger (+227)
Nigeria (+234)
Northern Ireland (+44)
Northern Mariana Isl (+1)
Norway (+47)
Oman (+968)
Ouzbekistan (+998)
Pakistan (+92)
Palau Rep of (+680)
Panama (+507)
Papua New Guinea (+675)
Paraguay (+595)
Peru (+51)
Philippines (+63)
Poland (+48)
Polynesie Francaise (+689)
Portugal (+351)
Qatar (+974)
Republic of Korea (+82)
Republic of Yemen (+967)
Reunion / Mayotte (+262)
Romania (+40)
Russia (+7)
Rwanda (+250)
Saint Lucia (+1)
Samoa. American (+1)
Samoa. Western (+685)
San Marino (+378)
Sao Tome and Principe (+239)
Saudi Arabia (+966)
Senegal (+221)
Seychelles Isl (+248)
Sierra Leone (+232)
Singapore (+65)
Slovakia (+421)
Slovenia (+386)
Solomon Isl (+677)
South Sudan (+211)
Spain (+34)
Sri Lanka (+94)
St Pierre Et Miquelon (+508)
St Vincent The Grena (+1)
Sudan (+249)
Suriname (+597)
Swaziland (+268)
Sweden (+46)
Switzerland (+41)
Tajikistan (+992)
Tanzania (+255)
Tchad (+235)
Thailand (+66)
Togo (+228)
Tonga (+676)
Tunisia (+216)
Turkey (+90)
Turkmenistan (+993)
Turks and Caicos Isl (+1)
Tuvalu (+688)
Uganda (+256)
Ukraine (+380)
United Arab Emirates (+971)
United Kingdom (+44)
Uruguay (+598)
Uzbekistan (+998)
Vanuatu (+678)
Venezuela (+58)
Viet Nam (+84)
Wallis and Futuna Isl (+681)
Zambia (+260)
Zimbabwe (+263)
Home Number:
Number
Work Number:
South Africa (+27)
United States (+1)
Afghanistan (+93)
Albania (+355)
Algeria (+213)
Andorra (+376)
Angola (+244)
Anguilla (+1)
Anguilla/St Kitts-Nevis (+1)
Antigua Et Barbuda (+1)
Argentina (+54)
Armenia (+374)
Aruba (+297)
Australia (+61)
Austria (+43)
Azerbaijan (+994)
Bahamas incl Garnd Bah (+1)
Bahrain (+973)
Bangladesh (+880)
Barbados (+1)
Belarus (+375)
Belgium (+32)
Belize (+501)
Benin (+229)
Bermuda (+1)
Bhutan (+975)
Bolivia (+591)
Bosnia Herzegovina (+387)
Botswana (+267)
Brazil (+55)
British Virgin Isl (+1)
Brunei (+673)
Bulgaria (+359)
Burkina Faso (+226)
Burundi (+257)
Cambodia (+855)
Cameroon (+237)
Canada (+1)
Cape Verde (+238)
Cayman Isl (+1)
Central African Repub (+236)
Chile (+56)
China (+86)
Colombia (+57)
Comoros Isl (+269)
Congo (Brazza) (+242)
Congo The Democratic Rep (+243)
Cook Isl (+682)
Costa Rica (+506)
Cote D'Ivoire (+225)
Croatia (+385)
Cuba (+53)
Cyprus (+357)
Czech Republic (+420)
Dem.People's Rep.Of Korea (+850)
Denmark incl Faeroe Isl (+45)
Djibouti (+253)
Dominica (+1)
Dominican Republic (+1)
Ecuador (+593)
Egypt (+20)
El Salvador (+503)
Equatorial Guinea (+240)
Eritrea (+291)
Estonia (+372)
Ethiopia (+251)
Falkland Isl/ Malvinas (+500)
Fiji Islands (+679)
Finland (+358)
France (+33)
French Guiana (+594)
French Polynesia (+689)
Gabon (+241)
Gambia (+220)
Georgia (+995)
Germany (+49)
Ghana (+233)
Gibraltar (+350)
Greece (+30)
Greenland (+299)
Grenada (+1)
Guadeloupe incl St Mar (+590)
Guam (+1)
Guatemala (+502)
Guinea (+224)
Guinea Bissau (+245)
Guyana (+592)
Haiti (+509)
Honduras (+504)
Hong Kong (+852)
Hungary (+36)
Iceland (+354)
India (+91)
Indonesia (+62)
Iran (+98)
Iraq (+964)
Ireland Rep of (+353)
Israel (+972)
Italy (+39)
Jamaica (+1)
Japan (+81)
Jordan (+962)
Kazakhstan (+7)
Kenya (+254)
Kiribati (+686)
Kuwait (+965)
Kyrgyzstan (+996)
Laos (+856)
Lebanon (+961)
Lesotho (+266)
Lettonie (+371)
Liberia (+231)
Libyan Arab Jamahiriya (+218)
Liechtenstein (+423)
Lithuania (+370)
Luxenbourg (+352)
Macau (+853)
Madagascar (+261)
Malawi (+265)
Malaysia (+60)
Maldives (+960)
Mali (+223)
Malta (+356)
Marshall Isl Rep of (+692)
Martinique (+596)
Mauritania (+222)
Mauritius (+230)
Mayotte / Reunion (+262)
Mexico (+52)
Micronesia. Federated (+691)
Moldova (+373)
Monaco (+377)
Mongolia (+976)
Montserrat (+1)
Morocco (+212)
Mozambique (+258)
Myanmar (+95)
Namibia (+264)
Nauru (+674)
Nepal (+977)
Netherlands (+31)
Netherlands Antilles (+599)
New Caledonia (+687)
New Zealand (+64)
Nicaragua (+505)
Niger (+227)
Nigeria (+234)
Northern Ireland (+44)
Northern Mariana Isl (+1)
Norway (+47)
Oman (+968)
Ouzbekistan (+998)
Pakistan (+92)
Palau Rep of (+680)
Panama (+507)
Papua New Guinea (+675)
Paraguay (+595)
Peru (+51)
Philippines (+63)
Poland (+48)
Polynesie Francaise (+689)
Portugal (+351)
Qatar (+974)
Republic of Korea (+82)
Republic of Yemen (+967)
Reunion / Mayotte (+262)
Romania (+40)
Russia (+7)
Rwanda (+250)
Saint Lucia (+1)
Samoa. American (+1)
Samoa. Western (+685)
San Marino (+378)
Sao Tome and Principe (+239)
Saudi Arabia (+966)
Senegal (+221)
Seychelles Isl (+248)
Sierra Leone (+232)
Singapore (+65)
Slovakia (+421)
Slovenia (+386)
Solomon Isl (+677)
South Sudan (+211)
Spain (+34)
Sri Lanka (+94)
St Pierre Et Miquelon (+508)
St Vincent The Grena (+1)
Sudan (+249)
Suriname (+597)
Swaziland (+268)
Sweden (+46)
Switzerland (+41)
Tajikistan (+992)
Tanzania (+255)
Tchad (+235)
Thailand (+66)
Togo (+228)
Tonga (+676)
Tunisia (+216)
Turkey (+90)
Turkmenistan (+993)
Turks and Caicos Isl (+1)
Tuvalu (+688)
Uganda (+256)
Ukraine (+380)
United Arab Emirates (+971)
United Kingdom (+44)
Uruguay (+598)
Uzbekistan (+998)
Vanuatu (+678)
Venezuela (+58)
Viet Nam (+84)
Wallis and Futuna Isl (+681)
Zambia (+260)
Zimbabwe (+263)
Work Number:
Number
Email:
*
Re-enter Email:
*
Communication Preferences
Receive Notification of Account Changes via ?
Both
Email
No Thanks
Sms
Receive Notification of Account Changes via ?
Receive Mica Newsletter via ?
Both
Email
No Thanks
Sms
Receive Mica Newsletter via ?
Receive Promotions from Mica via ?
Both
Email
No Thanks
Sms
Receive Promotions from Mica via ?
Receive Promotions from Mica Partners via ?
Both
Email
No Thanks
Sms
Receive Promotions from Mica Partners via ?
Receive Statements via Email?
No Thanks
Yes
Receive Statements via Email?
Additional Details
Please specify a password with a minimum of 6 characters and a maximum of 16 characters containing at least 1 lower case character, 1 upper case character, 1 numeric value and 1 special character.
Password:
*
Verify Password:
*
PIN Number:
*
Your PIN number is used as an authentication method for redeeming your points at the Point of Sale.
Security Question:
*
In what city did you meet your spouse/significant other?
In what city or town did your mother and father meet?
In what city or town was your first job?
What is the name of your favourite pet?
What is your favourite dish?
What was your childhood nickname?
Security Question:
Answer:
*
I agree to receive a confirmatory copy of these terms & conditions on my registered email
Enroll
Cancel
Please note that this Programme is not currently active