Vida Slim USA - Distributor Enrollment -

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[Mandatory Pruchase]

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[Select Multiple Income Center Spilling Option]

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Choose Different Sponsor

Join as an Individual Join as a Business

SELECT YOUR COUNTRY AND REGION

SELECT YOUR ENROLLMENT PACKAGE

30.000000000000000
0
Monthly Membership Fee
Monthly Membership Fee
150.000000000000000
0
New Rep Sign-Up Bundle
New Rep Sign-Up Bundle
Everything you need to get started as a VidaSlim consultant! The New Rep Bundle grants you access to your own customized retail sales website, wholesale pricing, exclusive products, automatic payouts, a VidaSlim member's kit, and more.

SELECT YOUR AutoShip

Mandatory Associated Recurring AutoShip

Optional Associated Recurring AutoShip

Mandatory AutoShips

Add

SELECT YOUR AutoShip

Mandatory Associated Recurring AutoShip

Optional Associated Recurring AutoShip

Distributor Information

Genealogy

Spilling

[Affiliate Site Name Extension]

Help

Password strength must be medium or strong

Passwords are required to be a minimum of 7 characters containing at least one number and either one upper case letter or one symbol (ie %#, etc)

Dummy

lblPasswordMesage

Add

Email Format

Select Language

Default Currency

Phone: (ex: x-xxx-xxx-xxxx)

Birthdate


Birth Date

Enrollment Date:

RadDatePicker

Open the calendar popup.

Calendar

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(help)

Alternate Name

Alias Name

Select Identification

Driver License Name

Driver License ID

Driver License Issue Country

Driver License Expiration Date

Date

National ID Name

National ID Number

National ID Issue Country

Passport Name

Passport ID

Passport Issue Country

Passport Issue Date

Date

Passport Expired Date

Date

[Additional Information]

eWallet Information

I Already Have a eWallet

XXXXX is powered by the eDollars E-Wallet. If you do not have a XXXXXX E-wallet account Click Here To Create One

Do You Already have an eWallet Account?

Copy Your Security Key Below and Click on the 'Validate Code' Button to Duplicate the Information from the eWallet

Please copy your security key below

eWallet Security Key

Validate Code

eWallet Account Credentials

Create 4-digit PIN

Re-Enter PIN

Secret Question(Add Your Own Secret Question)

Answer

Yes! Send me e-mail notices & updates

I Confirm that I am 18 Years of Age or Older

Enrollment Summary

Billing Address

[Same as Physical Address]

Birthdate


Birth Date

Shipping Address

[Same as Billing Address]

Birthdate


Birth Date

Shipping Method

Update Shopping Cart

TO SEE YOUR SHIPPING OPTIONS, PLEASE FILL OUT YOUR: STREET ADDRESS, CITY, STATE, AND POSTAL CODE

Agreements

Payment Method:

Subtotal:

0.00

Tax:

0.00

Coupon Saving:

$0.00

Price Discount:

0.00

Packaging & Handling:

0.00

Shipping:

0.00

Total:

$0.00

Pre-Paid Card Amount:

0.00

Amount To Be Paid:

0.00

Update

AutoShip(s) Selected

Gift Notes

Special Instructions

CAPTCHA Security code

Enter CAPTCHA

Refresh CAPTCHA

Complete Enrollment

Total: $0.00

Due Amount:

[Payment Information]

[Free Member Information]

Reason

[Beneficiary Information]

[Benficiary Same As Physical Address]

lblBeneficiaryFirstName

Address 1

lblBeneficiaryLastName

Address 2

Relationship

City

lblBeneficiaryCompany

Zip/Postal Code

Country

State/Province

lblSetRelationShip

To find a Sponsor in your area, enter your search criteria(s) and click search.

Zip/Postal Code

-or-

Select a Country

-and-

Select a State/Province

Search Or Cancel Validate

Your sponsor will be:

[No Income Center find for specified criteria.]

[Ok] OrCancel

Select This

EnrollmentFinePrint

Confirm

This member has not yet been placed into the genealogy and therefore you may not complete enrollment with him/her as your sponsor

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Please enter your credit card details

Submit

Please confirm that all information entered was correct and want to place an order!

Confirm Cancel

Two-Step Verification

For Additional security we have just sent a confirmation PIN code to your phone number via text message.

Enter Code
PIN code required

If you do not receive the PIN code within 30 seconds click "Re-send PIN Code" or click "Call Phone for PIN Code" and an automated call will be placed to your phone.

Re-send PIN Code

Call phone for PIN Code

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Error!

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Do you want to continue your session?

For security reasons, your session will timeout at unless you click the Continue Session button below to continue.

Continue Session

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