Become an Agent

Become an Agent

If you are interested in becoming an Agent for El-Amì, our new cosmetics range, please fill in the online form below. Alternatively you can download & return the form to us by following this link.

New - El-Ami
El-Ami
Our new range of Nourishing Facial Cosmetics contain mostly natural ingredients and have been developed to fight Ageing, Wrinkles and Dehydrated skin. Our Facial Cleansing Bars add additional benefit. Visit www.el-ami.co.za for more details.

Online Application Form

    Personal Information

    Your Full Name

    Your Surname

    Your Date of Birth

    Your Identity Number

    Your Home Languages

    Address Details

    Postal Address I.e PO Box 300, Patensie, Eastern Cape, 6335

    Postal code

    Street Address

    Postal Code

    Email & Contact Details

    Your Email Address

    Your Home Phone Number

    Your Work Phone Number

    Your Cellphone Number

    General Details

    Your Occupation

    Where do you work?

    Are you Married/Single/Divorced?

    Your Partner's Full Names

    Family Member's Name & Surname

    Relationship to Family Member

    Family Member's Phone Number

    Family Member's Cellphone Number

    Have you used El-Amì or Miracle Comfrey Products before?

    If Yes, any testimonies?


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    We care about skin.