Membership Signup

Things you should know :

  • NewLife Membership costs RM70.00
  • Details and signature collected will be used in 2 forms, Membership & PDPA.
  • Membership Form is the basic essential for signing up [Download PDF].
  • PDPA Form is an acknowledgment of your permission to receive the latest in promotions and updates from us [Download PDF].

8 Benefits of Being a NewLife Member

  1. Purchase at member’s price about 25% off the retail. Order Today!
  2. Get bulk discounts on top of the member’s price.
  3. Your friends & family get member’s price by using your name.
  4. You get paid by commission (if bank account details were provided). Learn about BV & PV commission.
  5. Get a bi-monthly snail mail LifeLine newsletter.
  6. You’ll get updates on news & promotion.
  7. Membership expires in one year, but is automatically renewed for free when you buy RM100 and above, within 3 months before it expires.
  8. Free health consultation. Got a question about a product usage? Whatsapp Stanley @ 018-3938733

Fields with orange borders are mandatory.

Applicant’s Details

Name as per IC
Usually the same name on the bank account for verification purposes.
Nick Name (if available)
Email Address
Mobile Contact
Office Tel
House Tel
Applicant’s IC or Passport Number
Date of Birth
Martial Status
Postal Code
Who introduced you

Bank Account Details

Should there be any rebates for NewLife purchases, it will be credited into this account.

Principal Name

Bank Name
Principal Account Number
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To order, visit us online at :

Stanley's Whatsapp changed to +6018-3938733. Please delete old #013.