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Consultant Information
Consultant:
haven, pure (1)
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New Consultant Information
Please enter your first and last name only with your social security or individual tax ID number.
Please Do Not Enter an "&" in your Name Address Fields
First Name:
*
Last Name:
*
Social Security # or Tax ID#:
*
Date of Birth:
Contact Information
Cell Phone:
*
Newsletter Phone Number:
###-###-####
Work:
Home Phone:
Email:
*
Account/Billing Information
Bill Country:
*
-- Select One --
USA
Bill Address 1:
*
Bill Address 2:
Ship Postal Code:
*
Bill State:
*
Enter a Valid Postal Code
Bill City:
*
Enter a Valid Postal Code
Bill County:
*
Enter a Valid Postal Code
Shipping Information
Click here if Shipping Information is the same as Billing Information
Ship Country:
USA
Ship Address 1
Ship Address 2
Ship Postal Code
Ship State
Ship City
Ship County
Ship Phone
Bank Account Information
Bonus Payout Method:
Direct Deposit
Bank Name:
Routing Number:
*
What is this?
Account Number:
*
What is this?
Personal Site
www.purehaven.com/
We recommend that you use your first and last name as your user name to be entered into the URL box after the www.purehaven.com. For example, www.purehaven.com/janedoe where
janedoe
will be the username you will use to login to your Online Back Office.
The user name is not case sensitive.
Online Office Password
Online Office Password:
*
Confirm Password:
*
Enrollment Options
starter kit
- 35.00
Where did you hear about us?
Choose One:
Click Here for New Consultant / Customer Feedback
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Consultant Signup
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Pure Haven Documents:
Policies and Procedures
Consultant Agreement
Website Terms of Use
Compensation Plan
Please click the links above to view the documents. A new window will pop up with the document.
IMPORTANT PRIVACY TIP:
When completing this Consultant Enrollment, if you are in the presence of your Sponsor, or other people. DO NOT enter the following personal information; Social Security Number, Tax Identification Number or Banking information. THIS IS TO PROTECT YOUR PERSONAL INFORMATION. Later, in private, edit your Consultant Profile and add any missing personal information. To comply with tax and commission payment system requirements, all personal information must be complete within 30 days of enrollment. Please contact us at 401-289-2900 x1 and we will be glad to assist.
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