New Distributor's Purchase/Order Form

instruction:

Be sure this is filled out correctly and submit for processing

New Distributor's Purchase (Personal Info). Please submit properly as per your Identity Card or Legal Document

First Name:

Middle Name:

Last Name:

Preferred Username:

Identification

National ID:

Driving License:

Passport:

Refugee ID:

Email:

Date of Birth:

Residential Address:

City:

State:

Residential Country:

Postal Code:

Nationality:

Telephone Number:

The Packages

Star

UGX 500,000 | USD 138

2 Packs of STC30

Supreme

UGX 1,860,000 | USD 516

8 Packs of STC30

Super

UGX 4,700,000 | USD 1305

22 Packs of STC30

Next of Kin Info [Optional]

Name:

Relationship:

Date of Birth:

Telephone Number:

Account Name:

Account Number:

Branch:

Bank Name:

Sort/Swift Code:

Terms and Conditions

This form is a pre-requisite to the online registration. Understand that the payment made is non-refundable and for product purchase only.

I have read and accepted the terms and conditions, company policy and all rules and regulations as indicated on the company website www.superlifeworld.com, or as may change from time to time.

All registered distributors are known and referred to as independent SuperLife distributors.

All distributors must satisfy the required / appropriate cumulative business volume points (BVP) for each level before receiving any rewards as stated in the compensation plan therefore affirm that the information provided above is true and correct.

You can as well place your orders online through our Entebbe Uganda website: www.superlifeworldclub.com.

I hereby confirm that all the information I have provided is correct. I have read and understood the terms and conditions of Superlife World SDN.BHD.

You are most welcome. Let's work as a team and build our capacity for our future to be bright.

contacts

Email

info@superlifeworldclub.com

Call

+256774081424, +256706950809, +256702556051

Location

Plot 427 and 35 Kampala-Entebbe Highway, Abaita Ababiri, AA Plaza

Superlife world sdn.bhd

Entebbe