USE MY NAME AS THE SPONSOR

• First Name:                     
• Mailing Address:                                                                     
• Mailing City:                    
• State Code:                     
• Postal Code:                    
• Phone Number:                
• Sponsor's Name:               MICHAEL A.  OLUWALADE  

First Name

Last Name

Middle Initial

First Name (Partner)

Last Name

Middle Initial

Mailing Address

City

State   Postal Zip Code

Mailing Address

City

State   Postal Zip Code

Home Phone Number

Second Phone # or cell phone

 E-mail Address    

How do you wish your name printed for recognition purposes?
(example: Jim and Sue Barton rather than James A. and Susan G. Barton)    

Birth Date (mm/dd/yyyy)

Social Security Number

Sales Period e.g May 2006

Pin No(4DIGITS )

Your link to sponsorship    

Your link to sponsorship : MICHAEL A. OLUWALADE (FROM NIGERIA) 

Your Sponsor's ID#    63 - 2317951(where 63 is the Nigeria Code)

Who referred you?   MICHAEL A. OLUWALADE (FROM NIGERIA) 

Sponsor's Address:  P. O. BOX 6614, WUSE, FCT, ABUJA, NIGERIA, WEST/ AFRICA.