KB Gold Enrollment Form
Username: Select a name that is easy for you to remember using any combination of letters ( A-Z ) and/or numbers ( 0-9)
No symbols or punctuation characters. Write it down and keep it in a safe place.
Password: Create a password for your Free Gold Savings Account using a minimum of 5 characters. Once your account has been activated we recommend changing your password for security purposes.
The purpose of this electronic enrollment form is to activate your Free Gold Savings Account, your Free Website and provide you with log in access to your Free back office to manage your account with. Please fill out form completely.
If you have not received your welcome email that will also include your New KB ...I.D. # within 2 to 3 business days be sure to contact the person that presented you with this form.
NOTE: You must click the submit button at the bottom to ensure that your information is received in order to activate your account.
You can enroll as a business or as an individual. Just leave the company name blank if you wish to sign up as an individual. This program is uniquely suited for NON-PROFIT organizations that are looking to raise funds due to state and local government cutbacks.
Company Name
EIN #
First Name Last Name
Birth Date
MM / DD / YY
Address
Opt In To KB Gold's Informative Email Newletter by clicking the YES BOX.
City
State Zip Code Country
Your Email Address
Your Mobile Phone
(example +18005551212)
Your Username
Your Password
