MEMBERSHIP FORM

By joining as members of Needa Boutique, you will be up to date on our latest production, enjoy our discount rate up to 50% and you will earn a money when you find your downline as a membership of Needa Couture!
Membership fees: RM30 for 2 years.
Payment can be made online. (Pls.sent to us the ref.no after payment has been made)
*Please read the Terms and Conditions before signing as Members.

Name:
Date Of Birth:
Email Address:
Phone No.:
Introducer membership no.(If any):
Address:
Address Line 2:
City:
State/Province/Region:
Postal/Zip Code:
Country:
How do you want to keep informed about our latest info:	By Email By Sms
I hereby declare that i have read and agree to the Terms & Conditions made by Needa Couture.	I Agree

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