Become an Affiliate


You are about to join under Cassandra Rae Ferguson, user name cassandraraeferguson.
If this is the correct person please continue.

If this is the wrong person please enter the web address of the correct person who has referred you.

If you are already a retail member, and wish to upgrade your account to an Affiliate Membership, simply Login To Your Account, and click the Become an Affiliate button.

Contact Details
First Name:*
Last Name:*
Phone Number:*
Mobile Number:
Fax Number:
Birth Date:*
 
 
Address 1:*
No P.O Boxes
Address 2:
City:*
State:*
Postal Code: *

Registration Information
Sitename:*
This is for your own personal website address.
e.g: www.empassion.com/YourSitename
Email:*
You will use your email as a username
when logging into this site.
Password:*
Verify Password:*
ABN Number:
Business Name (if applicable):

Terms & Conditions


Payment Information
There is a $50.00 joining fee and an annual renewal fee of $50 due on the anniversary of your registration date.

You must enter your credit card information below to register for your Empassion Affiliate system.

Your Credit Card will be charged $50.00 on the creation of your account.

Name on Card:*
Card Number:*
(eg. 4000123456781234)
Cards Accepted:
Card Expiry:*
Card CVV:*
The Card Verification Value (CVV) is an extra code printed on your debit or credit card.
CVV for Visa and MasterCard is the final three digits of the number printed on the signature strip on the back of your card.
Currency:
  $50.00
* - Denotes a required field.


 
 
     



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Product Information
Empassion Products Contain:
No Sodium Lauryl Sulphate, No Parabens
No Sodium Laureth Sulphate, No Formaldahyde
No Aritifical Colours, No Synthetic Fragrances
No Animal Derivatives, No Harmful Chemicals