Become a Reliv Distributor

Becoming a Reliv Distributor is easy! For just $39.95 plus tax and shipping, (which purchases your Distributor Kit and sales forms), you will be able to purchase Reliv products at a discount and earn a profit when you share them with other people. With just the purchase of the kit, you are entitled to a 20% discount/profit. You can qualify for an even higher discounts/percentages, up to 40%.

Start by printing and completing a Reliv Distributor Application (you will need Acrobat Reader.)

Fill out all of your personal information. You will see two boxes for SPONSOR and MASTER AFFILIATE information. Fill in the names (Scott Wickard & Donna Merrick), phone number (865-458-6622) and ID# (248-190-101).  Put the same information in BOTH the Sponsor and Master Affiliate boxes. Fill in your credit card information and Fax application to: 636-537-9753 or

Mail application to: