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Registration Form
Become a Distributor at Fafor Life - Healthy & Wealthy Family
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Email
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Your email
First Name
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Your answer
Surname
*
Your answer
Phone Number
*
Your answer
Package Plan
*
Basic Package - N18,000 ($36)
Super Package - N45,000 ($96)
BIZ-CLASS PACKAGE - N117,000 ($240)
BIZ-EXECUTIVE PACKAGE - N270,000 ($540)
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State of Residence
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Abia State
Abuja Federal Capital Territory
Adamawa State
Akwa Ibom State
Anambra State
Bauchi State
Bayelsa State
Benue State
Borno State
Cross River State
Delta State
Ebonyi State
Edo State
Ekiti State
Enugu State
Gombe State
Imo State
Jigawa State
Kaduna State
Kano State
Katsina State
Kebbi State
Kogi State
Kwara State
Lagos State
Nasarawa State
Niger State
Ogun State
Ondo State
Osun State
Oyo State
Plateau State
Rivers State
Sokoto State
Taraba State
Yobe State
Zamfara State
City
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Your answer
Contact Address
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Your answer
Account Details - Bank
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Your answer
Bank Account Number
*
Your answer
Bank Account Name
*
Your answer
Date of Birth
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Preferred Username
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Your answer
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