Zija Personal System - Team...

Four easy steps to maximize profit with these product systems STEP 3 Become Qualified and Active 75/150STEP 4 Train and Duplicate

STEP 1 Choose your SystemSTEP 2 Choose Active 150 AutoShip (Req. to earn 15% Team Bonus)

ZIJA BUILDER SYSTEMS & APPLICATION // United States / Puerto Rico / Canada

Zija Personal System ($330/250 PV)

• FREE Enrollment • FREE Shaker Bottle ($8 value)• FREE Business Kit ($39 value) • FREE 16 XMam Trial Packs ($84 value) • FREE 16 XMpm Trial Packs ($84 value)

• FREE Enrollment • FREE Shaker Bottle ($8 value)• FREE Business Kit ($39 value) • FREE 32 XMam Trial Packs ($168 value) • FREE 32 XMpm Trial Packs ($168 value)

• FREE 16 SmartDrink / SmartMix Pocket Guides• 16 SamplePack Boxes• Includes Shipping & Handling*

• FREE Enrollment • FREE Shaker Bottle ($8 value)• FREE Business Kit ($39 value) • FREE 8 XMam Trial Packs ($42 value) • FREE 8 XMpm Trial Packs ($42 value)• FREE 8 SmartDrink / SmartMix Pocket Guides• 8 SamplePack Boxes• Includes Shipping & Handling*

Zija Builder System 1 ($660/500 PV)*

Zija Builder System 2 ($1,320/1000 PV)*

4 Cases SmartMix4 Boxes XM+


2 Box XMam Caps2 Box Premium Tea




EARN A 15% TEAM BONUS

FOR 3 MONTHS†

EARN A 15% TEAM BONUS

FOR 6 MONTHS†

*Add $20 Shipping & Handling for Canada



• FREE 32 SmartDrink / SmartMix Pocket Guides• 32 SamplePack Boxes• Includes Shipping & Handling*

PERSONALSYSTEM

×2

PERSONALSYSTEM

×4

SmartPack 1 ($200/150 PV)1 Case SmartMix1 Box XM+1 Box XMam Caps2 XMpm Samples

1 Box Premium Tea1 WMS GuideShaker BottleIncludes Shipping & Handling*

SmartPack 2 ($200/150 PV)1 Case SmartMix1 Box XM+1 Box XMpm Caps2 XMam Samples


SmartPack 3 ($200/150 PV)1 Case SmartMix1 Box SmartMix1 Box XMpm Caps2 XMpm Samples


PlusPack 1 ($200/150 PV)1 Case XM+1 Box SmartMix1 Box XMam Caps2 XMpm Samples


PlusPack 2 ($200/150 PV)1 Case XM+1 Box SmartMix1 Box XMpm Caps2 XMam Samples


$39 Enrollment is not included.*Add $5 Shipping & Handling for Canada.

ZIJA SMARTPACKS & PLUSPACKS

Kit/Pack Selection:Zija Personal System ($330/250 PV)

Zija Builder System 1†($660/500 PV)

Zija Builder System 2†($1,320/1000 PV)

SmartPack 1($200/150 PV)



PlusPack 1($200/150 PV)

PlusPack 2($200/150 PV)

QTY DESCRIPTION PRICE* AUTOSHIP___________ 1 CASE SMART MIX ........................................................................ $90 (75 PV)† ______________________ 1 CASE XM+ ENERGY MIX ............................................................. $99 (75PV) † ______________________ 2 CASES XM+ ENERGY MIX ..........................................................$198 (150 PV) ______________________ 2 BOXES XMam CAPS .....................................................................$118 (96 PV) ______________________ 2 BOXES XMpm CAPS .....................................................................$118 (96 PV) ______________________ 15 XMam TRIAL PACKS ....................................................................$118 (75 PV) ______________________ 1 BOX XMam CAPS & 1 BOX PREMIUM TEA .......................................$98 (78 PV) ______________________ 1 BOX XMam CAPS & 7 XMam TRIAL PACKS....................................$118 (88 PV) ___________

Please fax this form to: 1.801.494.2323ENROLLMENT APPLICATION

©2012 Zija International, Inc. All Rights Reserved. (7.12)

6 AUTOSHIP ORDER

TOTALAutoShip is a program of convenience that automatically charges and ships the products of your choice approximately every 4 weeks after the initial order. *Prices shown DO NOT include Shipping and Handling fees.

Customerinitials

1 NEW ENROLLEE INFORMATION (required)LAST NAME FIRST NAME MIDDLE INITIAL

MAILING ADDRESS

CITY STATE ZIP CODE

PHONE NUMBER MOBILE / FAX NUMBER

( ) ( )

BUSINESS NAME (IF DIFFERENT FROM APPLICANT’S NAME) SOCIAL SECURITY NO.

SHIPPING ADDRESS (IF DIFFERENT FROM MAILING)

CITY STATE ZIP CODE

EMAIL ADDRESS DATE OF BIRTH (MM/DD/YY)

p Individual/Sole Proprietor p Joint Applicants p Partnership p Corporation

2 SPONSOR INFORMATION (please print)SPONSOR’S NAME PHONE SPONSOR’S ID NUMBER

( )

4 ENROLLMENT FEE / PAYMENT I understand that the $39 Enrollment Fee to become a Zija Distributor is waived with the purchase of any Zija System, which includes

a Zija Business Kit containing sales and demonstration materials as well as company information created by Zija. I understand a yearly renewal fee of $25 is required to continue as a Distributor. I authorize Zija to charge the $25 annual renewal fee to my credit card as it becomes due. I understand a renewal fee is applicable annually, starting thirty (30) days prior to my enrolllment anniversary date to maintain my Distributor status.

3 PLACEMENT INFORMATION (Placement Name and ID Number optional)

PLACEMENT NAME PLACEMENT ID NUMBER CIRCLE CHOICE (REQUIRED)

LEFT RIGHT

Based on the information provided in this section, you will be placed in the first available Left or Right position of the Placement Name and ID Number provided below. If no Placement Name or ID Number is provided in this section, you will be placed in the first available position on the Left or Right side of your Sponsor (listed above).

7 TERMS AND CONDITIONS

Applicant/Authorized Party’s Signature and Title _______________________________________________________ Date __________

By signing below, I understand and have read and agree to abide by the Zija Policies & Procedures/Terms and Conditions, and that this enrollment form is abbreviated and not intended as a substitute for full disclosure of the Zija Policies & Procedures/Terms and Conditions. I understand that a complete disclosure of such documentation is available upon my request. I authorize my enrolling sponsor to process this initial order with the information I have supplied herewith. In addition, I authorize Zija to process my order and to charge my credit card referenced above.

Team 250 Disclaimer – Team 250 is a program that allows Zija Distributors to earn a free AutoShip by completing certain requirements. If you qualify, Zija will pay for your AutoShip, unless you decide to opt-out below. If any of your qualifying purchases are reversed or refunded, backdated billing will apply. For more information about Team 250 rules and regulations, refer to the flyer in your Back Office.

p I wish to opt-out of the Team 250 program

5 PAYMENT (check one) p Visa p Mastercard p AMEX p DiscoverCREDIT CARD NUMBER EXPIRATION DATE

NAME AS SHOWN ON CARD SIGNATURE OF CARDHOLDER

BILLING ADDRESS CITY STATE ZIP

† Option qualifies new enrollees for 15% Team Commissions.

Zija Personal System - Team...

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