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  Enroll A Customer
Enroll A New Customer
Build your business! You may enroll new customers here and place their initial order (if required). If you are setting up an autoship, with or without an order, you will be required to enter payment information. If no autoship is selected and no balance is due, you will not be required to enter payment information.
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Tell Us About Yourself
Please Enter Your Personal Information
Begin your enrollment by entering your sponsor’s Distributor ID #. 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 ●
Select A Customer Type
Signing up as a AFFILIATE Customer
You have chosen to sign up as a customer in our program. This form is used to sign up customers that will receive special benefits.

If you would prefer to simply be a retail customer, then you may sign up through the shopping cart.
    You may optionally purchase one of our products at this time, however a purchase is not required in order to sign up.
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
Product 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:
Expiration Date 
Billing Address (must match credit card)
Personalize Your Revii Replicated Website
Select Your Revii Replicated Website Name
Your Revii Replicated Website and Online Back Office are important when managing your business. Please choose a Replicated Website name that will be easy to remember for your customers! Your Replicated Website name must be unique in our system and must not contain and spaces or special characters.
Website Name
Process Your Order and Complete Enrollment!
Final Confirmation
Click the button below to process your order and complete the Distributor Enrollment. You will receive an email confirmation shortly with the details of your order.
Enter An Account Password