Account Information

Contact Information (Only Singapore Addresses will be accepted)

First Name (Given Name) First name is required

Last Name (Surname) Last name is required
Email Valid email address is required
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Mobile No (8-digit, do not input space) Cell phone is required
Choose Password

Confirm Password

Passwords don't match.
Birth Date

Birthdate is required

Language Language is required
Bank Account Name (As per NRIC) Bank Account Name is required

Bank Account Number Bank Account Number is required
Bank Name Bank Name is required

Branch Code

Billing Address

Address Address is required

Address Line 2 Billing Address Line 2 is required
City City is required
Postal Code (6-digit) Postal Code is required

Country Country is required

Shipping Address

Same as Billing Address

Name Name is required
Address Address is required

Address Line 2 Shipping Address Line 2 is required
City City is required
Zip Code Zip code is required

Country Country is required

Enroller/Sponsor Information

Your enroller is the person who signed you up for 4Life. Your sponsor is the person you are directly under. This information is important because we want all our Preferred Customers to be added to the right team. Your team will support you through your start with 4Life!

I don't know an Affiliate
Enroller ID Number

Enroller is required

Sponsor ID
Sponsor is required

My sponsor is the same as my enroller

1. Account Info

2. First Order

3. Payment

Account Information