JOIN & SAVE FORM › ts › docs › essante_paper_join_for… · O One-Time Go-Green Pack...
1
Enter Pack # ____________________ CHOOSE ONE: O One-Time Go-Green Pack (products, lifetime wholesale website, temporary 25% Matching Bonus, save up to $400.00): O Wholesale Website Owner (lifetime wholesale website, unlimited access to wholesale pricing): $29.95 O Retail Customer (enjoy products at wholesale + 30%): FREE ADD ONS: Extra product Item #s & quantities I want: ____________________________________________________________________________________ CONTACT & SHIPPING INFORMATION: First Name: ______________________________________________________ Last Name: _____________________________________________________ Company Name (optional): ___________________________________________ Country you live in: ______________________________________________ Email Address: ____________________________________________________________________________________________________________________ Cell Phone: _____________________________________________________ Alternate Phone: _________________________________________________ Ship To Address: _________________________________________________________ City_________________________State_________Zip_____________ WHOLESALE WEBSITE INFORMATION: Your domain name can be changed anytime by visiting your site. Characters allowed: A-Z, a-z, 0-9, - 1st Choice: www.EssanteOrganics.com/ _________________________________________________________________________________________________ 2nd Choice: www.EssanteOrganics.com/ ________________________________________________________________________________________________ Password (to access exclusive wholesale pricing): _________________________________________________________________________________________ COMMISSIONS PAYABLE INFORMATION: Date of birth (MM-DD-YYYY): ____ ____ - ____ ____ - ____ ____ ____ ____ Enjoy referral fees & commission: register for direct deposit or Essanté MasterCard. Tax ID# / SSN / EIN or Passport # (required for 1099 form & to pay commission): _________________________________________________________________ As you enroll other Wholesale Website Owners, how do you want them placed in your team? O Holding Tank (you place them, this is recommended) or O Computer places them MONTHLY EASY ORDER INFORMATION: Personal &/or Retail Points, every 30 days, can qualify you to eligible for commissions. You may edit or stop your order anytime, from your website. A One-Time Go-Geen pack qualifies you to be eligible for all 6 bonuses & the classified ad system for your 1st 30 days. Choose a Monthly Easy Order: O 100 Points (can qualify you to be eligible for all 6 bonuses & the classified ad system where unlimited leads call you*) #972 is recommended $117.25 O 75 Points (can qualify you to be eligible for 5 bonuses, excludes Expansion Race/Profit Sharing, excludes ad system*) #971 is recommended $92.25 O 40 Points (can qualify you to be eligible for 1.5 bonuses: Retail Bonus & 1/2 of the Endless Team Bonus*) #962 is recommended $51.00 O 0 Points (can qualify you to be eligible for 1 bonus: Retail Bonus*) Choose a lá carte items from your website anytime Choose a Start Date (you may stop or edit your order at anytime from your website): O Start my recurring 30 Day Monthly Easy Order (above) right away today ____ /____ /____ O Start my recurring 30 Day Monthly Easy Order (above) in 30 days since I ordered a One-Time Go-Green Pack. METHOD OF PAYMENT: Once your order is entered, your website will be activated immediately, and your ToxicFree™ products will ship immediately from the USA and arrive in 5-12 business days. I understand the 30-day Satisfaction Guarantee requires an rma#, a 15% processing fee, and does not include return shipping. I agree to the Terms & Conditions on my website. O Visa O MC O Amex O Discover Card #: ________________________________________________________ Security Code: ____________ Expiration Date: ____ / ____ Name as it appears on the card: _______________________________________________________________________________________ Billing/Statement Address: ___________________________________________________________________________________________ Signature: ____________________________________________________________________________ Today’s Date ____ /____ /____ O Debit / Gift Essanté Organics DBA Fun Unlimited 11001 N 24th Ave #612 Phoenix AZ 85029 Customer support: (602) 595-7560 or CustomerSupport@EssanteOrganics.com * Please see compensation plan for details JOIN & SAVE FORM Also Available Online For Executive Use: Date: _____/_____/_____ Enroller: _____________________________ Enroller ID#: _______________
Transcript of JOIN & SAVE FORM › ts › docs › essante_paper_join_for… · O One-Time Go-Green Pack...
Enter Pack # ____________________
CHOOSE ONE:O One-Time Go-Green Pack (products, lifetime wholesale website, temporary 25% Matching Bonus, save up to $400.00):
O Wholesale Website Owner (lifetime wholesale website, unlimited access to wholesale pricing): $29.95
O Retail Customer (enjoy products at wholesale + 30%): FREE
ADD ONS: Extra product Item #s & quantities I want: ____________________________________________________________________________________
CONTACT & SHIPPING INFORMATION:First Name: ______________________________________________________ Last Name: _____________________________________________________
Company Name (optional): ___________________________________________ Country you live in: ______________________________________________
Email Address: ____________________________________________________________________________________________________________________
Cell Phone: _____________________________________________________ Alternate Phone: _________________________________________________
Ship To Address: _________________________________________________________ City_________________________State_________Zip_____________
WHOLESALE WEBSITE INFORMATION:
Your domain name can be changed anytime by visiting your site. Characters allowed: A-Z, a-z, 0-9, -
1st Choice: www.EssanteOrganics.com/ _________________________________________________________________________________________________
2nd Choice: www.EssanteOrganics.com/ ________________________________________________________________________________________________
Password (to access exclusive wholesale pricing): _________________________________________________________________________________________
COMMISSIONS PAYABLE INFORMATION:Date of birth (MM-DD-YYYY): ____ ____ - ____ ____ - ____ ____ ____ ____
Enjoy referral fees & commission: register for direct deposit or Essanté MasterCard.
Tax ID# / SSN / EIN or Passport # (required for 1099 form & to pay commission): _________________________________________________________________
As you enroll other Wholesale Website Owners, how do you want them placed in your team?
O Holding Tank (you place them, this is recommended) or O Computer places them
MONTHLY EASY ORDER INFORMATION: Personal &/or Retail Points, every 30 days, can qualify you to eligible for commissions. You may edit or stop
your order anytime, from your website. A One-Time Go-Geen pack qualifies you to be eligible for all 6 bonuses & the classified ad system for your 1st 30 days.
Choose a Monthly Easy Order:
O 100 Points (can qualify you to be eligible for all 6 bonuses & the classified ad system where unlimited leads call you*) #972 is recommended $117.25
O 75 Points (can qualify you to be eligible for 5 bonuses, excludes Expansion Race/Profit Sharing, excludes ad system*) #971 is recommended $92.25
O 40 Points (can qualify you to be eligible for 1.5 bonuses: Retail Bonus & 1/2 of the Endless Team Bonus*) #962 is recommended $51.00
O 0 Points (can qualify you to be eligible for 1 bonus: Retail Bonus*) Choose a lá carte items from your website anytime
Choose a Start Date (you may stop or edit your order at anytime from your website):
O Start my recurring 30 Day Monthly Easy Order (above) right away today ____ /____ /____
O Start my recurring 30 Day Monthly Easy Order (above) in 30 days since I ordered a One-Time Go-Green Pack.
METHOD OF PAYMENT: Once your order is entered, your website will be activated immediately, and your ToxicFree™ products will ship immediately from
the USA and arrive in 5-12 business days. I understand the 30-day Satisfaction Guarantee requires an rma#, a 15% processing fee, and does not include return
shipping. I agree to the Terms & Conditions on my website.
O Visa
O MC
O Amex
O Discover
Card #: ________________________________________________________ Security Code: ____________ Expiration Date: ____ / ____
Name as it appears on the card: _______________________________________________________________________________________
Billing/Statement Address: ___________________________________________________________________________________________
Signature: ____________________________________________________________________________ Today’s Date ____ /____ /____
O Debit / Gift
Essanté Organics DBA Fun Unlimited 11001 N 24th Ave #612 Phoenix AZ 85029 Customer support: (602) 595-7560 or [email protected]
* Please see compensation plan for details
JOIN & SAVE FORMAlso Available Online
For Executive Use: Date: _____/_____/_____ Enroller: _____________________________ Enroller ID#: _______________
