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  Preferred Customer Enrollment
Enroll A Preferred Customer
Build your business! You may enroll new Preferred Customers here and place their initial order (if required). If you are setting up an autoship, with or without an order, you will be required to enter payment information. If no autoship is selected and no balance is due, you will not be required to enter payment information.
Unable to determine the enrolling Independent Consultant. Cannot continue enrollment process. Please contact Customer Service for assistance at 1-844-5KEPREA or cs@keprea.com.
 
 
Tell Us About Yourself
   
Please Enter Your Information
Begin your enrollment here by entering your name and address, along with your shipping information. All required fields are indicated by
  Referred By
Name ●
 
  Company Name
  Shipping Address
  Address ●
   
  Country ●
  City ●
  State ●
  Zip Code ●
  Contact Information
  Phone
  Email ●
  (Optional) Birthdate MM/DD/YYYY
 
 
 
 
 
 
     
Preferred Customer Enrollment
 
Signing up as a PREFERRED Customer
You have chosen free enrollment as a Preferred Customer in our program. Please select your first order below to receive immediate discounts and benefits.
 
  Enrollment
   

Please select your product to ship today

 
 
     
Automatic Shipment Setup
 
Make your selections for monthly shipment
Make your automatic shipment selections here. During your initial enrollment only a single product selection is allowed. You may easily add products to your autoship through your login area. You will receive your login after this form is completed and can adjust your recurring autoship to 30, 45 or 60 days.
 
Preferred Customer Autoship
(Selection Is Required)
Sign up for an autoship to be eligible for our Preferred Customer discount of 20%!
 
     
Enter Payment Information
 
Select A Payment Method
Enter your payment method below. Once this form is completed, you will be on your way to building a new and exciting business!
 
Order Totals
Product Sub-Total $ 0.00
Discount Applied $ 0.00
Shipping and Handling $ 0.00
Country Specific Fees $ 0.00
Sales Tax $ 0.00
Gift Certificates Applied $ 0.00
Total Amount Due $ 0.00
 
Select A Shipment Method
Shipping Method
 
Apply your coupon here.
Enter Coupon Code
   
 
Apply Your Gift Certificates Here
Search by Serial Number  
 
 
Payment Method
 
Billing Address (must match credit card)
 
Name
 
Address
 
Country
City
State
Zip Code
     
Complete Your Order
 
Final Confirmation
You are almost done! By clicking on the button below, your order will be processed and your enrollment will be completed.  You will receive an email confirmation shortly with details of your order.
 
Enter An Account Password
Password
Confirm