Herbalife Online Distributor Application


		Application Display \| Edit

Surname:
First Name:
Middle Init:
Identification:
:
Date of Birth:

Spouse Surname:
Spouse First Name:
Spouse Middle Init:
Spouse's Identification:

Have you or your spouse owned or assisted in an Herbalife Distributorship?

In Care Of:
Mailing Address:
Mailing Address 2:
Town:
Province:
Postal Code:

Primary Phone:
Secondary Phone:
Mobile Phone:
Fax Number:

Legal/Fiscal Address:
Legal/Fiscal Address 2:
Town:
Province:
Postal Code:
Primary Email Address:

Do you wish to receive communication via email and/or online?:

Congratulations on taking the first step towards the life you deserve. As an Herbalife Independent Distributor, you will have access to powerful training, the best products and one of the most generous compensation plans in direct selling today.


		Sponsor Information

	*Required field

Country of Residence*:
Sponsor's Herbalife ID Number*:

First 3 Letters of Sponsor's Last Name*:
Purchased an International Business Pack (IBP) from your Sponsor?*
Application ID*:
Online Code*:

Don’t have a Sponsor? Call Herbalife at (011) 554-1000.
**You must be a South Africa resident to apply**

Note: Please complete the entire process promptly in one session if at all possible. The session will expire after 20 minutes of inactivity.