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Enroll Distributor
Step 1
: Select Package
Step 2
: User Information
Step 3
: Shipping
Step 4
: Summary
Step 5
: Make Payment
Country of Registration
*
EU - Austria 奧地利
EU - Czech Republic 捷克共和國
EU - Germany 德国
EU - Hungary (& the rest of EU) 匈牙利
EU - Romania 羅馬尼亞
Hong Kong - NFR 香港 (内地)
Hong Kong 香港 (香港)
Malaysia 马来西亚
Pre-launch Indonesia 印尼
Singapore 新加坡
Taiwan 台湾
Sponsor ID
*
Sponsor Name
Default Site Language
Default Language (Browser Setting)
English
Simplified Chinese (简体中文)
Traditional Chinese (繁體中文)
Bahasa Melayu
Bahasa Indonesia
Japanese
Thai
Hungarian
Czech
Croatia
German
Romanian
Site Name
http://www.xlife-axxa.com/
Full Name
*
Gender
*
Female
Male
Birth Date
*
MM / DD / YYYY (At least 18 years old)
Email Address
*
Re-confirm Email Address
*
Receive informational emails from us.
Default Language (English)
Simplified Chinese (简体中文)
Traditional Chinese (繁體中文)
Bahasa Melayu
Bahasa Indonesia
Japanese
Thai
Hungarian
Czech
German
Government Issued ID
*
Government ID No.
Passport No.
Business Registration No.
Policy/Army ID
Residence/Working Permit
Tax Type
Individual
Company
Tax ID
Profile Name
Shipping Name
*
Address Line 1
*
Address Line 2
Postcode
*
Country
State / Province
*
City
*
Mobile Phone
*
Home Phone (include country code)
Use the shipping address as the mailing address
Mailing Name
*
Address Line 1
*
Address Line 2
Postcode
*
Country
State / Province
*
City
*
Mobile Phone
*
Home Phone (include country code)
Account Type
Saving
Check
Bank Name
Bank Account Number
Routing Number / SWIFT / BIC
Bank Country
Confirm the given information are correct?
Confirm
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