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Retail Sales Compliance Form AdvoCare Distributors eligible for Overrides and Bonuses must provide verification of their retailing efforts by completing this Retail Sales Compliance Form and submitting it to AdvoCare International Attn Distributor Records no later than the seventh day following the end of the preceding Sales Period. The information provided in this form is subject to verification by AdvoCare and inaccurate data will be reason for sanctions against the Distributor that will include recouping of Overrides and Bonuses paid in respect of the Sales Period for which false information was provided* Further sanctions may include suspension and/or termination of the Distributor s Agreement of Distributorship* Attn Legal Mail to 2801 Summit Avenue Plano TX 75074 E-mail to legal advocare. com Questions call 800 542-4800 Distributor Information please print Period Ending Date Name Last First Initial Street Address City State ZIP Home Phone Business Phone E-mail address Five Retail Customers List Retail Amount Date Sold I hereby certify that all foregoing information is true and correct in every respect. I further certify that I have issued an AdvoCare Retail Sales Receipt S1102 or S1502 to each of my retail customers and retained a copy of said Receipt for my files. I agree that I will provide said Receipt to AdvoCare if asked to do so. I further certify that I have sold or consumed at least 70 of the products I purchased from AdvoCare during the Sales Period covered by this form* Applicant Signature Date AdvoCare authorizes duplication of this form. The information provided in this form is subject to verification by AdvoCare and inaccurate data will be reason for sanctions against the Distributor that will include recouping of Overrides and Bonuses paid in respect of the Sales Period for which false information was provided* Further sanctions may include suspension and/or termination of the Distributor s Agreement of Distributorship* Attn Legal Mail to 2801 Summit Avenue Plano TX 75074 E-mail to legal advocare. com Questions call 800 542-4800 Distributor Information please print Period Ending Date Name Last First Initial Street Address City State ZIP Home Phone Business Phone E-mail address Five Retail Customers List Retail Amount Date Sold I hereby certify that all foregoing information is true and correct in every respect. com Questions call 800 542-4800 Distributor Information please print Period Ending Date Name Last First Initial Street Address City State ZIP Home Phone Business Phone E-mail address Five Retail Customers List Retail Amount Date Sold I hereby certify that all foregoing information is true and correct in every respect. I further certify that I have issued an AdvoCare Retail Sales Receipt S1102 or S1502 to each of my retail customers and retained a copy of said Receipt for my files. I further certify that I have issued an AdvoCare Retail Sales Receipt S1102 or S1502 to each of my retail customers and retained a copy of said Receipt for my files. I agree that I will provide said Receipt to AdvoCare if asked to do so. I further certify that I have sold or consumed at least 70 of the products I purchased from AdvoCare during the Sales Period covered by this form* Applicant Signature Date AdvoCare authorizes duplication of this form.

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