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https://keithmelamaker.tripod.com/presentations/intro/signupforum2.htm
LETS GET STARTED!
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Contact Information |
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Your Name |
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Your Social Security, (Social Insurance) or Federal Tax ID# |
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Spouse's Name |
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Telephone Number (please include area code) |
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Home |
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Fax ( optional ) |
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Mailing Address |
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Street Address ( P.O. Boxes Not Accepted ) |
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City |
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State/Province |
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Postal Code/ZIP |
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Country (U.S.A., Canada, Australia, Hong Kong, Taiwan, Japan, United Kingdom ONLY ) |
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I have filled in the down-loaded forms and will fax them to my enroller | Erollers name | |
Your online enrollment is for your Business Kit, Training Materials and activating your first order. For your ordering convenience, you may enroll via credit card, PayPal or electronic check debit online. The credit card or checking account MUST be in the name of the applicant listed above. ( If you would rather enroll by phone contact your Enroller immediately or print STEP TWO and fax it to 1-831-8515043 ). Payment options If you would prefer to have your checking
account debited for your orders, please fill out the information below. You need to FAX A COPY OF YOUR VOIDED CHECK to:
1-831-8515043
IMMEDIATELY. Electronic Check orders will
not be processed without the official company application and voided check. No one will be placed in your group until we receive your faxed applications. |
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Routing Number and Account: ( numbers at the bottom left side of your check ) |
Please enter like the example
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YOU MUST FAX A COPY OF A VOIDED CHECK TO: 1-831-8515043 TO USE THIS TYPE OF PAYMENT |
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United States and Canadians may skip to sponsor's name and click PayPal under start-up options below |
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Name on Credit Card: |
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Credit Card Type : |
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Credit Card Number: | ||
Exp. Date: | ||
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Your Sponsor/Enroller |
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( INCLUDE THE NAME, E-MAIL ADDRESS or PHONE NUMBER of the person who sent you to this page ) |
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Sponsor's ( Enroller's ) Name: |
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Level of Interest |
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Please review your information above before clicking on the submit button below, Should you need to make any more corrections after pressing submit, just hit the browser back button. You can now move to Step Three and place your order there. | ||
By clicking the submit button, I here by authorize that a charge for $29 US / $39 Can ( plus tax and handling ) and whichever product order option I selected will be placed on my credit card or other selected payment. I understand that I have 120 days to get a full refund if I am not satisfied with my purchase. I also understand that starting NEXT month, I will be required to place at lest a minimum order for approximately $40-$65 worth of product each month ( 35-75 base points ). This order is so that I may keep my position in the matrix and continue to earn a commission check. If I do not place an order as stated above, I will receive a back up order and a charge will automatically be placed on my credit card or other selected form of payment. This is to ensure that I maintain my position in the matrix and continue to qualify to earn my monthly commission. ( Like an insurance policy ) Please press submit button ONLY ONCE.
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