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Registration for new users.
Clients Database::Registration Form
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Registration
Kindly fill-up all information to complete registration!
User ID
You can find your
USER ID
in the kit provided. user id
Referral ID
This is the
USER ID
of the person that invited you to join this rewards program. referrer id
Activation Code
You can find your
Activation Code
in the kit provided. activation code
Family Name
Please type your family name as it appears on your
valid ID
. text
Given Name
Please type your given name as it appears on your
valid ID
. text
Middle Name
Please type your middle or maiden name as it appears on your
valid ID
. Type N/A if not applicable. text
Birthdate
Your birthdate should follow the format mm/dd/yyyy. birthdate
Gender
[Select Gender]
Male
Female
gender
Mobile Number
Please enter your mobile number starting with country code (ie +1 for US), followed by area code. text
Email
Please make sure your email is valid. We will send verification email shortly after the registration. email
Address
Your complete address as it appears on your
valid ID
. street
Country
[Select Country]
Canada
Japan
Philippines
United States
country
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