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  Member Enrollment
Enroll A New Member
Share RLG with People You Know! You may enroll New Members here by entering their personal information and placing their membership order. Enrolling is simple and easy. Just fill out this form and we will take care of the rest!
Unable to determine the Member who referred you to Revii Life Global!! Cannot continue enrollment process!
 
 
Tell Us About Yourself
   
Please Enter Your Personal Information
Begin your enrollment by entering the Member ID# of the person who referred you to Revii Life Global (RLG). Then please enter your name and address, along with your shipping information. For tax reporting purposes, you will also be prompted to enter your social security number. All required fields are indicated by
  Referred By
Name ●
 
  Company Name
  Shipping Address
  Address ●
   
  Country ●
  City ●
  State ●
  Zip ●
  Contact Information
  Phone (please enter with no dashes or spaces)
  Email ●
  Birthdate
  Identification
  SSN/EIN ●
 
 
 
 
     
Membership Selection
 
Enrolling as a MEMBER
Please select the RLG Membership for Enrollment that gives your a yearly membership to receive product discounts, earn commission bonuses, and give you exclusive offers not available to customers!
  Select Membership
 
 
 
 
     
Enter Payment Information
 
Select A Payment Method
Select a Payment Method
Enter your payment method below, including any coupons or gift certificates. Once this section is completed, you are one step closer to building a new and exciting business!
 
Order Totals
Order Sub-Total $ 0.00
Discount Applied $ 0.00
Shipping and Handling $ 0.00
Country Specific Fees $ 0.00
Sales Tax $ 0.00
Gift Certificates Applied $ 0.00
Total Amount Due $ 0.00
 
Select A Shipment Method
Shipping Method
 
Have a Coupon? Apply it here
Enter Coupon Code
   
 
Apply Your Gift Certificates Here
Search by Serial Number  
 
 
Payment Method
Account Number:CID / CVV2:
Cardholder Name:
 MonthYear 
Expiration Date 
 
Billing Address (must match credit card)
 
Name
 
Address
 
Country
City
State
Zip
     
Personalize Your RLG Website
 
Select Your RLG Website Name
Your RLG Website and Online Back Office are important when managing your account. Please choose a custom Website name that will be easy to remember for your customers! Your RLG Website name must be unique in our system and must not contain and spaces or special characters.
 
Website Name
   
Create an Online Back Office Password
Password
Confirm
   
 
     
Process Your Order and Complete Membership Enrollment!
 
Final Confirmation
Click the button below to process your order and complete the Member Enrollment. You will receive an email confirmation shortly with the details of your order.
 
Terms and Conditions
Please click on the link below to download the Terms and Conditions. Once you understand and agree to the terms and conditions listed in this document, check the box below.
Click Here to View Terms and Conditions