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Get Organo Gold International IDA-US-e 2014-2022

If emailed or faxed in you must send both the front and back of the Agreement. Please find the addresses on the top of this Form. Independent Organo Gold Distributor Application and Agreement Terms and Conditions As used throughout these terms and conditions Agreement collectively refers to the Organo Gold Independent Distributor Application and Agreement Policies and Procedures Marketing and Compensation Plan and any other document incorporated by reference in the aforesaid. These documents in their current form and as may be amended by Organo Gold at its sole discretion constitute the entire contract between Organo Gold and the Organo Gold Distributor. Organo Gold International Inc* 7390 Eastgate Rd Suite 190 Henderson Nevada 89011 USA Tel Toll Free 1 877 674-2661 l Fax 1 604 288 5488 l Email support organogold. com Independent Distributor Application usa IDA-US-e Application Information Personal Information Mandatory Fields Social Security Number Phone First Name Mobile MI Fax Number Email Address Billing Address Number Street State Zip Code Date of Birth mm/dd/yyyy Shipping Address Address Line 2 Suite or Apartment no. City Last Name Number Street County Co-Applicant Information Contact Phone Placement select one Enrolling Sponsor Sponsor s OG ID Sponsor s First Name Sponsor s Last Name become aN Organo Gold Distributor AutoShip Available with Credit Card only P OG Business Kit 49. 95 Three Pack 54. 00 50PV Includes membership product samples 1 year back office and replicating website. Required to become a OG Distributor. OG Bronze Beverage Pack OG Bronze Supplement Pack 150. 00 OG Silver Pack OG Gold Pack Shipped the 1 245. 00 Assorted OG Beverage Products with 130CV Assorted OG Supplement Products with 130CV 20 Matching Bonus as a Qualified Consultant Optional NO THANKS 1st 15th of the following month Credit Card Details CREDIT CARD NUMBER VISA EXP MO EXP YY CCV MASTER CARD CARD HOLDER NAME AMEX Note All Orders Will Be Charged Applicable Taxes Shipping and Handling. Six Pack 108. 00 100PV Right Initial Order / Business Builder Pack Options Left Card Holder Signature Prices are in USD Your OG Login and Replicating Website Information Please Choose Login/Website address Password. organogold. com Capitalization matters. Use 6 to 32 characters and don t use your login ID Uppercase characters or spaces are not allowed For Display on Your replicating Website Distributor Agreement Please Read and Sign This is a two-sided application* I/We have carefully read and agree to abide by the terms and conditions on both sides of this Application and the Organo Gold Policies and Procedures and Compensation Plan* I/We understand that I/We have the right to terminate my/our Organo Gold independent business at any time with or without reason by sending written notice to the Company at the above listed address. Applicant s Signature Date Co-Applicant s Signature Director of Administration and Distributor Services Shella Chua Please email mail or fax this Application and Agreement to ORGANO GOLD within 48 hours of completing it.

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