Application to Join Forever Living Products as a Distributor

You are registering into Malaysia store.

The purchase of a Starter Kit (RM105) is a necessary pre-requisite for joining as a distributor of FLP Malaysia.

Please fill out the information requested in each of the sections below. The fields marked with an * are required.

Type the code shown below

captcha
I accept terms and conditions

please wait

Step 1: Personal Information
* Surname
As in IC/Passport  
* Name  
* Birth Date  
Day Month Year
     
* Primary Nric #  

please wait

Step 2: Contact Information
* Address  
  
  
  
* City  
* State/Province  
* Country  
* Postal Code  

* Phone #  
Handphone #  
* Email  
* Confirm Email  
 
Step 3: Store Information
* Gender
* Race
- Bonus Payment Details - Direct Deposit  *click radio button to enter account details
Deposit my Forever bonus into a personal bank account.
* Bank Account #
* Bank Name
* Bank Code Bank Code List
Step 4: Sponsor Information

Choose one of these 3 options to select a Sponsor

Option 1: Enter the ID of your Sponsor.
Option 2: I don't have a Sponsor
Option 3: Search for a sponsor.