PURTIER Riway registration for the new members please complete all 4 steps in the form. all the fields marked * must be filled out STEP #1 - The Information necessary to register a new member Code * New member's personal and contact information (details about the person for whom the sets will be registered) Your first and last name * National ID Number * Photo of the ID card - front side * (white background, sharp photo, readable font, no glosses, with all the corners) Photo of the ID card - back side * (white background, sharp photo, readable font, no glosses, with all the corners) Date of birth * Residence / Address Street and the Land Registry House Number * City * ZIP code * State/Country * Czech republicSlovakiaHungaryGermanyPolandAustriaVietnam Contact Cell phone (with prefix) * E-mail * Sponsor details (the person who is registered above the person in the system = up-line) Name and surname of the sponsor * Sponsor's User ID (Master ID, Main CZ) (optional) STEP #2 - specifying the number of the registered positions/sets Number of the registered positions/sets with product PURTIER * 1234567If you are ordering e.g.: 3 sets/positions of PURTIER - you need to fill out the 3 specification forms below. If you would like to order more than 7 positions/sets, you need to create another order. STEP #3 - specifying data for each position Please fill in the necessary information for each set with PURTIER products separately 1st position/set - Specifications for the position/set Payment details Select the payment method * ---Bank transferRW pointsCashOnline payment card If you pay using the bank transfer, please enclose the payment confirmation in the PDF form: Master ID (Main CZ) account and the name of the account owner from which RW points are paid for the registration: Placement (optional) Note (optional) 2nd position/set - Specifications for the position/set Payment details Select the payment method * ---Bank transferRW pointsCashOnline payment card If you pay using the bank transfer, please enclose the payment confirmation in the PDF form: Master ID (Main CZ) account and the name of the account owner from which RW points are paid for the registration: Placement (optional) Note (optional) 3rd position/set - Specifications for the position/set Payment details Select the payment method * ---Bank transferRW pointsCashOnline payment card If you pay using the bank transfer, please enclose the payment confirmation in the PDF form: Master ID (Main CZ) account and the name of the account owner from which RW points are paid for the registration: Placement (optional) Note (optional) 4th position/set - Specifications for the position/set Payment details Select the payment method * ---Bank transferRW pointsCashOnline payment card If you pay using the bank transfer, please enclose the payment confirmation in the PDF form: Master ID (Main CZ) account and the name of the account owner from which RW points are paid for the registration: Placement (optional) Note (optional) 5th position/set - Specifications for the position/set Payment details Select the payment method * ---Bank transferRW pointsCashOnline payment card If you pay using the bank transfer, please enclose the payment confirmation in the PDF form: Master ID (Main CZ) account and the name of the account owner from which RW points are paid for the registration: Placement (optional) Note (optional) 6th position/set - Specifications for the position/set Payment details Select the payment method * ---Bank transferRW pointsCashOnline payment card If you pay using the bank transfer, please enclose the payment confirmation in the PDF form: Master ID (Main CZ) account and the name of the account owner from which RW points are paid for the registration: Placement (optional) Note (optional) 7th position/set - Specifications for the position/set Payment details Select the payment method * ---Bank transferRW pointsCashOnline payment card If you pay using the bank transfer, please enclose the payment confirmation in the PDF form: Master ID (Main CZ) account and the name of the account owner from which RW points are paid for the registration: Placement (optional) Note (optional) STEP #4 - Check and submitting If you have all the necessary information in steps #1, #2, #3 completed and checked, all you need to do is confirm your approval and submit the form for processing. I agree to the processing of the personal data provided above (without your consent, the registration cannot be submitted) *
