ROKU LUXURY


	PT. ROKU INDONESIA SATU

	Registration Step : \| 1. Fill data \| 2. Confirmation \| 3. Welcome letter

	Step 1 : Fill data

User & Sponsor Information

User Name *

Password *

Confirm Password *

Type *

Silver Gold Platinum

Transaction Code *

*Input 1 Transaction Code RGR for Silver Registration;
Input 1 Transaction Code RGR + 2 Transaction Code BCR for Gold Registration;
Input 1 Transaction Code RGR + 6 Transaction Code BCR for Platinum Registration

ID Sponsor *

ID Upline *

Positon *

Left Right

Personal Information

Full Name *	:

Mobile Phone No. *	:		*Example : 0812XXXXXX, 0219XXXXXX ( for CDMA, use area code )

Email *	:

Country*	:

State	:

City	:

ID Number *	:	/

Birth Date	:

Gender	:	Male Female

Bank Account Information

Bank Account No. *	:

Bank Account Name *	:	Please make sure your bank account is valid so the bonus can be transferred

Bank *	:

Bank Branch *	:

Bank City	:

Approval of Membership* :

	I have read and I agree with Roku Terms and Agreement of Membership
	Fill the code below*	:
	Click code to get new code



*All field are compulsory.