REQUEST FOR REGISTRATION LINK

Request to register as Annique Independent Consultant

Team Tea-Riffic Sunflowers +27 (074) 205 8939 - tearifficsunflowers@gmail.com
Please complete this form ONLY if you are serious about making a positive change in your life and you are committed to it.

Do not request to register if you are just looking for a side-line hobby that you can dabble in every now and then and if and when you feel like it. Do also not complete it if you are just curious about this opportunity.

If you would like to be earning an additional / fulltime income then you need to make a commitment to yourself that you are going to do what needs to be done to make a raving success of this awesome opportunity.

After we receive this form we will send you a registration link and details of your sponsor who will guide you every step of the way.

Please also note that you need to be in possession of and have access to: -
- Facebook
- Working email Address
- WhatsApp
- Smartphone / tablet / computer
- Reliable Wifi / Data
I FULLY UNDERSTAND AND ACCEPT THE ABOVE: -*

YES I do.

Have you already completed this form in the past week or so?

If you are still receiving information emails from us - with a link to complete the registration form - and you have already completed the form; and have received confirmation that the form was received. Then you don't have to complete the form again.

The information in the emails will benefit you - but you can ignore the link to complete the registration form again.

First Name*
Surname*
Title *
Name known as*
Name that your family and friends call you
RSA Citizen*
Nationality*
Home Language*
Preferred Language*
ONLY IF YOUR HOME LANGUAGE IS NOT ENGLISH OR AFRIKAANS
Gender*
Have you used Annique before?*
Cell Number*
WhatsApp Number*
What is your Facebook Profile Name*
Some people's Facebook Profile name differs from the name give here on the form.
Email*

Confirmation EmailEmail address needs to match in both rows

I understand that my sponsor together with other various team leaders will provide me with all the information and tools needed to make a success of this opportunity; - but, that it is solely my responsibility to accept and apply the information and tools in order to obtain customers and accumulate sufficient sales to place my opening, and subsequent, order/s.*

Yes
I will not hold my sponsor or any of my team leaders liable or accountable if I am unable to place my opening order in the required time frame.*

Yes
Signed:*

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Request to register as Annique Independent Consultant