Distributor Registration

Activate your distributor code

If you’re here, it’s because you’ve already purchased your DISTRIBUTOR KIT and you’re about to activate yourself in our system. Please fill out the form below.

DISTRIBUIDOR KIT #: (You will this number in the welcome letter)

DOCUMENT TYPE(Required)

Document Number

COMPANY NAME:

Full Name(Required)

First Last

CELL PHONE NUMBER:(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

EMAIL (Distribuidor):(Required)

ATTACH A COPY OF YOUR DOCUMENT (BOTH SIDES) (If you are a company, please send us an updated copy of your EIN)

Max. file size: 128 MB.