Consultant Enrollment Form

Consultant Enrollment

If you are a returning consultant, please contact (866) 275 - 8639 to reactivate your account.
Account Information

* indicates required fields
Name*

First NameLast Name
Date of Birth*

MonthDayYear
You must be 18 years of age to join Naughty Cocktail Parties.
Primary Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Email Address*
Home Phone Number
Format: (000) 000-0000.
Mobile Phone Number*
By submitting this information, you consent to receive text messages (e.g. marketing, promos, leads, account notices) from Naughty Cocktail Parties at the number provided. Msg & data rates may apply.Format: (000) 000-0000.
Social Security Number (SSN)*
This information will be used to report non-employment income to the Internal Revenue Service (IRS).
How Did You Hear About Us?*
Sponsor Name

First NameLast Name
Sponsor ID
If you are not working with an active Naughty Cocktail Parties consultant, please leave the Sponsor Name and ID fields blank.
Emergency Contact

First NameLast Name
Emergency Phone Number
Format: (000) 000-0000.
Order Information

Once your submission is reviewed, we will email you an invoice for the starter kit you select. Accepted methods of payment for starter kits include debit or credit card, Amazon Pay, Apple Pay, Google Pay, PayPal, Sezzle (pay in 4), Shop Pay, and Venmo.
Select a Starter Kit*
Prices shown are before tax, shipping, and an activation fee of $15.95.
Monthly Access Fee Agreement

All consultants must pay a monthly access fee of $15.95, automatically billed on the 1st of each month following your account activation. This charge will be debited from your card on file. Your default card on file can be updated when you access your consultant backoffice.

Credit Card Information*

Card on File Authorization

$0.01

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Acknowledgment of Terms

* indicates required fields
Applicant's Signature*

Clear
CAPTCHA Verification*
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Consultant Enrollment

Account Information

Order Information

Monthly Access Fee Agreement

Acknowledgment of Terms