VIP Customer Enrollment Form

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VIP Customer Enrollment

Please enter your personal information below:

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Enroller ID:* Enroller Name: Alexandria Holtz

Personal Information

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Select a VIP Customer Option:

Annual VIP Customer Fee - VIP Customer Membership Fee

Revive/Greens Club Pack - This Club Pack comes with Revive Plus and Greens! Revive Plus is a multi-mineral, multivitamin with 7 unique blends including probiotics, a mushroom blend, a super fruit blend and ingredients designed to support cellular function, aid in DNA repair, and promote overall vitality. Greens with an Organic Blend of alfalfa grass powder, wheatgrass powder, barley leaves, kale powder, oat grass powder, spirulina powder, chlorella powder, and astragalus powder. And it tastes amazing! Two of our most popular products in one pack for just $119.95 ($144.90 Retail Value)

Club Pack 1 - Club Pack 1 - This pack comes with Dream, Enerlean, and Revive Plus. Dream is a powerful, all natural blend of herbs that can dramatically improve your sleep quality. Enerlean is a powerful, all natural blend with a well balanced potency that delivers 5-7 hours of mental clarity, focus and clean energy. Revive Plus is a multi-mineral, multivitamin with 7 unique blends including probiotics, a mushroom blend, a super fruit blend and ingredients designed to support cellular function, aid in DNA repair, and promote overall vitality - $149.85 Retail Value

Club Pack 2 - Club Pack 2 - This pack comes with Dream, Detox Plus, and Revive Plus! Dream is a powerful, all natural blend of herbs that includes Valerian Root, Passion Flower, Chamomile and other calming herbs that can dramatically improve your sleep quality. Detox Detox Plus contains a powerful yet gentle combination of herbs to help nourish, detoxify, rejuvenate, and cleanse your body. Revive Plus is a multi-mineral, multivitamin with 7 unique blends and including probiotics - $149.85 Retail Value

Club Pack 3 - Club Pack 3 - This pack comes with Enerlean, Detox Plus, Revive Plus! Enerlean is a powerful, all natural blend with a well balanced potency that delivers 5-7 hours of mental clarity, focus and clean energy. Detox Detox Plus contains a powerful yet gentle combination of herbs to help nourish, detoxify, rejuvenate, and cleanse your body. Revive Plus is a multi-mineral, multivitamin with 7 unique blends and including probiotics - $149.85 Retail Value

Club Pack 4 - Club Pack 4 - This comes with all four of our amazing products. - Enerlean - Detox Plus - Dream - Revive Plus - $189.85 Retail Value

Club Pack 5 - Club Pack 5 - This pack comes with Dream, Enerlean and Greens Plus! Dream is a powerful, all natural blend of herbs that can dramatically improve your sleep quality. Enerlean is a powerful, all natural blend of herbs with a well balanced potency that delivers 5-7 hours of mental clarity, focus and clean energy. Greens with an Organic Blend of alfalfa grass powder, wheatgrass powder, barley leaves, kale powder, oat grass powder, spirulina powder, chlorella powder, and astragalus powder. And it tastes amazing - $159.85 Retail Value

Club Pack 6 - Club Pack 6 - This pack comes with Dream, Detox Plus and Greens Plus! Dream is a powerful, all natural blend of herbs that can dramatically improve your sleep quality. Detox Detox Plus contains a powerful yet gentle combination of herbs to help nourish, detoxify, rejuvenate, and cleanse your body. Greens with an Organic Blend of alfalfa grass powder, wheatgrass powder, barley leaves, kale powder, oat grass powder, spirulina powder, chlorella powder, and astragalus powder. And it tastes amazing - $159.85 Retail Value

Club Pack 7 - Club Pack 7 - This pack comes with Enerlean, Detox Plus and Greens Plus! Enerlean is a powerful, all natural blend of herbs with a well balanced potency that delivers 5-7 hours of mental clarity, focus and clean energy. Detox Detox Plus contains a powerful yet gentle combination of herbs to help nourish, detoxify, rejuvenate, and cleanse your body. Greens with an Organic Blend of alfalfa grass powder, wheatgrass powder, barley leaves, kale powder, oat grass powder, spirulina powder, chlorella powder, and astragalus powder. And it tastes amazing - $159.85 Retail Value

Club Pack 8 - Club Pack 8 - This pack comes with - Revive Plus - TWO Bottles of Dream! - $149.85 Retail Value

Club Pack 9 - Club Pack 9 - This pack comes with - Revive Plus - TWO Bottles of Detox Plus - $149.85 Retail Value

Club Pack 10 - Club Pack 10 - This pack comes with - Revive Plus - TWO Enerlean! - $149.85 Retail Value

Club Pack 11 - Club Pack 11 - This pack comes with - Greens Plus - TWO Bottles of Dream! - $159.85 Retail Value

Club Pack 12 - Club Pack 12 - This pack comes with - Greens Plus - TWO Detox Plus! - $159.85 Retail Value

Club Pack 13 - Club Pack 13 - This pack comes with - Greens Plus - TWO Bottles of Enerlean! - $159.85 Retail Value

- Annual VIP Customer Fee - $29.95 (This is required and added when any product/package is selected above.)