|
 |
 |
 |
 |
 |
 |
|
Processing Your Enrollment. Please Wait...
|
|
|
|
Enroll A New Member |
 |
Build your business! You may enroll new members here by entering their personal information and placing their enrollment order. By continuing to build your business, you are ensuring your success as you climb your way to the top! Enrolling is simple and easy. Just fill out this form and we will take care of the rest! |
 |
Unable to determine the enrolling dealer!! Cannot continue enrollment process! |
|
|
|
|
Please Enter Your Personal Information
|
Begin your enrollment here by entering your name and address, along with your shipping information. All required fields are indicated by ●
|
|
|
Referred By |
|
 |
Name First / Last ●
|
|
|
Company Name
|
|
|
Shipping Address
|
|
Address ●
|
|
|
|
|
|
Country ●
|
|
|
City ●
|
|
|
State ●
|
|
|
Zip ●
|
|
|
Contact Information
|
|
Phone ●
|
|
|
Email ●
|
|
|
Birthdate
|
|
|
Identification
|
|
|
SSN
|
|
|
|
|
|
|
|
|
|
|
|
|
|
 |
|
 |
|
How would you like to enroll?
|
|
 |
Rank
|
|
|
Product
|
|
|
|
|
|
|
|
|
|
 |
|
 |
|
 |
|
 |
|
 |
|
Select A Payment Method
|
Enter your payment method below. Once this form is completed, you will be on your way to enjoying eXfuze products at a reduced price as a member!
|
|
|
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
|
|
|
Have a Coupon? Apply it here
|
|
|
|
|
Payment Method
|
|
|
|
|
|
|
Billing Address (must match credit card)
|
|
|
Name
|
|
Address
|
|
|
|
Country
|
|
City
|
|
State
|
|
Zip
|
|
|
|
|
|
|
|
|
 |
|
Select your website name and password
|
A Replicating website is an important part of your ability to refer others giving you the opportunity to get discounts on product or build a business. Choose a name that will be easy to remember! Your website name must be unique in our system and must not contain any spaces or special characters. Our system websites are called as follows: Please remember not to use a Country name, City name of a KZ1 trademark name.
http://www.Teamkz1.com/YOURWEBSITENAMEHERE
|
|
|
|
|
|
 |
|
|
Final Confirmation
|
You are almost done! By clicking on the button below, your order will be processed and your enrollment will be completed. You will receive an email confirmation shortly with details of your order.
|
|
|
|
|
|
|
|
 |
|
|
|
|
|
|