Only $35 Per Month
Last Name
First Name
Email Address
Mobile Phone Number
Birthdate (as MM/DD/YYYY)
Street Address
City, State
Zip Code
Account Setup:
Username (this will also be your custom website name)
Password (8 digits or more, including 1 uppercase, 1 lowercase, 1 number, and 1 special character but no @ symbols) Please leave this field empty.
Influencer VIP Package Add-on (Includes an amazing VIDANTA vacation for an incredible discount!) Yes, I would like to upgrade to the Influencer VIP Package for a one-time fee of $400 USD.
Credit Card Information:
Card Number
Expiration Date
Security Code
Cardholder Name
Cardholder Address (if different from above)
Other Details:
Sponsor Name
Sponsor ID
Speaker ID (SBID / optional)
Terms and Conditions (Read Here) I have reviewed the terms and conditions of JIFU Travel, LLC and agree to have my credit card card charged the amount set forth above.
Signature
Date
