Distributor Registration Form for Franchise Agents Only

We donate 50% of income to institutions like churches, schools, NGO's and others who are helping to distribute this product to families.

Parent Rescue CD Set Registration Form (Agents):

Please complete this registration form and email it to us by clicking the "Submit" button at the end. If your browser does not support this method of submission, simply copy the form and paste it into your email program, or copy and paste it into Word or Wordpad and create an attachment for mailto or print and fax this form to: +27152960614

* Include Zip Code, State/Province and Country

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* (compulsory - get it)

You will get detail instructions after receipt of the registration information. You will also be required to fax us proof of your personal physical address (municipal invoice or telephone invoice); as well as a copy of your ID.

 

Our contact details: Name: Pierre du Plessis, mailto, telephone: +27152960614, fax: +27152960614, Mobile: +27844264496, Skype name: lepfin. Support page: http://www.career-builders-club.com/support/