First
Name: |
* |
Last
Name: |
* |
Company: |
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SSN/Fed-ID: (U.S. Only) |
*
Example:
222-33-4444
or 22-3333333 |
Email
Address: |
* |
Please
Verify Your Email Address: |
*
|
Phone: |
*
Example: 8585551212 |
Street: |
* |
City: |
* |
State
or Province: |
*
Other:
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Zip or Postal Code: |
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Country: |
* |
Personal Web Address: |
http://www.VGWellness.com/my/
*
Enter the unique name you want for your personal Web Site.
Example: If you type bob, your personal web address will be
http://www.VGWellness.com/my/bob
The Directory Name can be between 1
and 20 characters long. Try to use a name that represents you and/or
your company name. Please do not use invalid characters like spaces or
!@#$%^&*()?.,<>'";:\/{}[]
All web address names are subject to approval by
VGWellness |
|
The password you enter below
will be used when accessing your backoffice. Please enter your password below twice
to make sure it is entered correctly into our system. |
Password: |
*
(minimum of 5 characters) |
Please
Verify Your Password: |
* |
Select your
Package: |
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Bronze Enrollment Processing Fee to be an IBO. Does not include any products. Get your business started for $19.95. - $19.95 |
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Platinum Package 20 VG7, 2 Healing Habits Booklets, 1 Each Moringa, Bitter Melon, & Moringa Body Balm, 10 Brochures - $500.00 |
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Platinum Package-Spanish 20 VG7, 2 Healing Habits Booklets, 1 Each Moringa, Bitter Melon, & Moringa Body Balm, 10 Brochures - $500.00 |
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Gold Package#1 8 VG7 1 Healing Habits Booklet, 1 Moringa, 1 Bitter Melon, 1 Moringa Body Balm & 10 Brochures - $250.00 |
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Gold Package-Spanish 8 VG7 1 Healing Habits Booklet, 1 Moringa, 1 Bitter Melon, 1 Moringa Body Balm, 10 Spanish Brochures - $250.00 |
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Silver Package-Spanish includes 2 VG7,1 ea Moringa, Bitter Melon, Moringa Body Balm, 1 Healing Habits Booklet, 5 Brochures - $125.00 |
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Silver Package#2 includes 2 VG7,1 ea Moringa, Bitter Melon, Moringa Body Balm, 1 Healing Habits Booklet, 5 Brochures - $125.00 |
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By checking this box, I agree to the
Terms & Conditions |
|
By checking this box, I agree that I am at least 18 years old. |
Sponsor ID: |
*
VGW |
extended validation certificate
|