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Enroll A Customer
Enroll A New Customer
Build your business! You may enroll new customers here and place their initial order (if required). If you are setting up an autoship, with or without an order, you will be required to enter payment information. If no autoship is selected and no balance is due, you will not be required to enter payment information.
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Tell Us About Yourself
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Please Enter Your Personal Information
Begin your enrollment here by entering your name and address, along with you shipping information. All required fields are indicated by
●
Referred By
Name
●
Company Name
Shipping Address
Address
●
Country
●
Ghana
Nigeria
South Africa
City
●
State
●
[Select A State]
Eastern Cape
Free State
Gauteng
Kwazulu-Natal
Limpopo
Mpumalanga
Northern Cape
North-West
Western Cape
Zip
●
Contact Information
Phone
●
Email
●
Birthdate
●
Save 20% | Become A VIP Customer Today!
Signing up as a VIP Customer
You have chosen to enroll as an EMRIS VIP Customer. As a VIP customer you're able to unlock 20% discounts on the retail price as well as an exciting rewards program!
If you would prefer to simply be a retail customer, then you may sign up through the shopping cart.
Product
[Select A Product]
VIP Enrollment - 0.00
Enter Payment Information
Select A Payment Method
Enter your payment method below. Once this form is completed, you will be on your way to building a new and exciting business!
Order Totals
Product Sub-Total
R 0.00
Discount Applied
R 0.00
Shipping and Handling
R 0.00
Country Specific Fees
R 0.00
Sales Tax
R 0.00
Gift Certificates Applied
R 0.00
Total Amount Due
R 0.00
Select A Shipment Method
Shipping Method
[Enter Address and Select Product First]
Have a Coupon? Apply it here
Enter Coupon Code
Apply Your Gift Certificates Here
Search by Serial Number
Payment Method
[Select A Payment Method]
Bank Deposit
Billing Address (must match credit card)
Use shipping address
Name
Address
Country
[Select A Country]
Ghana
Nigeria
South Africa
City
State
[Select A State]
Eastern Cape
Free State
Gauteng
Kwazulu-Natal
Limpopo
Mpumalanga
Northern Cape
North-West
Western Cape
Zip
Complete Your Order
Final Confirmation
You are almost done! By clicking on the button below, your order will be processed and your enrollment will be completed. You will receive an email confirmation shortly with details of your order.
Enter An Account Password
Password
Confirm