Enrollment Form

We will be in contact with you soon for our phone orientation to get to know you and to get your card information. You should receive an email shortly with instructions on what to do next. If you have any questions before filling out the form, please feel free to email us at by using the email form under Contact Us or call us at 816.396.5533.

First Name:
Last Name:
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Login Password:
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Consultant Number:
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Unit Club Goal:
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Unit Name:
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Who Referred You?:
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Questions/Comments:

By submitting this form you agree to services provided by Kissa's Kreations. Prices are as listed and the setup fee and prorated first month fee is expected at the time of setup. As a courtesy, if you discontinue your service please provide at least 30 days notice or to finish out your billing cycle which runs a month forward from your billing date. If you cancel your service within the first 90 days you will be charged an cancellation fee of $75.
I Agree:

Kissa's Kreations is the founder and proud member of the Site Maintainers Association. A group of individual site maintainers who adhere to a code of ethics.