REGISTRATION

The procedure for registration as a Tiens distributor.

For the registration of the Tiens company fill out the form below.

After completing the form, click button "Submit for the registration "

Tiens Distributor Registration Form

*(denotes required field)

Last Name and First Name *

E-Mail Address *

Passport ID *

Pnone / Address

Example: Pnone: 972541234567

24 Ben Gurion street, app. 4, Haifa, 4672151, Israel

*

Please attach copy of Passport or Local ID *

Acceptable file types: doc,pdf,txt,gif,jpg,jpeg,png.
Maximum file size: 1mb.

Name and surname of the sponsor *

Sponsor's ID *

Name and surname of the placement sponsor *

Distributor ID of the placement sponsor *

I agree with the original contract

original contract HERE   

Terms and Conditions and Privacy Policy *

Terms and conditions HERE   Privacy Policy HERE

CAPTCHA Code *