Herbalife Online Distributor Application


		Application Display \| Edit

Last Name:
First Name:
Middle Initial:
Social Security or Individual Tax ID Number:
INTX (Indian Permanent Account):
INPP (Indian Passport):
INRS:
INNR (NRI:Non-Resident ID):
Date of Birth:

Spouse Last Name:
Spouse First Name:
Spouse Middle Initial:
Social Security or Individual Tax ID Number:
INTX (Indian Permanent Account):
INPP (Indian Passport):
INRS:
INNR (NRI:Non-Resident ID):

Have you or your spouse owned or assisted in an Herbalife Distributorship?

In Care Of:
Mailing Address:
Mailing Address 2:
City:
State:
Zip Code:

Primary Phone:
Secondary Phone:
Mobile Phone:
Fax Number:

Legal/Fiscal Address:
Legal/Fiscal Address 2:
City:
State:
Zip Code:
Primary Email Address:

Do you wish to receive Personal Information regarding your Distributorship via e-mail/or online?:

Congratulations on taking the first step towards the life you deserve. As an Herbalife Independent Distributor, you will have access to powerful training, the best products and one of the most generous compensation plans in direct selling today.


		Sponsor Information

	*Required field

Country of Residence*:
Sponsor's Herbalife ID Number*:

First 3 Letters of Sponsor's Last Name*:
Application ID*:
Online Code*:

Don’t have a Sponsor? Call Herbalife at +918040311444.
**You must be An Indian resident to apply**

Note: Please complete the entire process promptly in one session if at all possible. The session will expire after 20 minutes of inactivity.