Surich Order Claim Form

SURICH CLAIM ORDER FORM
(FOR NEW CUSTOMERS)

To ensure the delivery of our message to your given email address below. Please add support@clixsenseteam.com to your email contacts List. Thank you!

PART 1: Product Claiming Details

Note: After sending your Payment, please fill-up the form below with accurate information.

PART 2: Proof of your Payment

Note: For us to verify your Payment for the Surich Team Membership Fee. You need to submit the Proof of your Payment below.


Note: Please review ALL the details you have provided above before clicking the Submit Button below. Once you clicked the Submit Button, the details and information you have provided above will be considered Final and Unchangeable.


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