Site hosted by Angelfire.com: Build your free website today!
HERBATROL, Inc. US Associate Agreement
5849 OKEECHOBEE BLVD. Suite 201
West Palm Beach, FL 33417, USA
(561) 478-5913
You must fill this application out neatly and clearly or we cannot process your order .

APPLICANT INFORMATION - PRINT CLEARLY - USE BLACK INK

Applicant's Social Security or Tax I.D # ______-______-________

_________________________________________________________________________________
Applicant's First Name / Middle Initial / Last Name (Commissions are made payable to the name on this line)

_________________________________________________________________________________
Company Name (Use this line only if commission checks are to be made payable to company name)

_________________________________________________________________________________
Mailing / Shipping Address - Print one address only - use Street Address or P.O Box

City_________________________State________________

Zip/Postal Code:____________Country________________________

Area Code (_________) Home Phone Number ____________________

Area Code (_________) Work Phone Number ____________________

Area Code (_________) Fax Number________________________

SPONSORSHIP INFORMATION

Sponsor's Name:  Nattaly Dumais   ID Number:  266-329-903
Sponsor's Address:  6611, rue de Meursault  CITY:  St-Emile 
Province:  Quebec  Zip:  G3E-1S2  Country:   Canada 
Phone:     E-mail:  nattypa@yahoo.com

You Must Check The Appropriate Lines

____NEW ORDER     ____REORDER
____NO, I DO NOT WANT AUTOSHIP  ____YES, I WANT AUTOSHIP
THIS NUMBER IS STRICTLY FOR FAX ORDERS ONLY !
817-572-2242
 
Tape Check Below       

 THERE ARE THREE WAYS TO ORDER

1.  To become a distributor, simply mail in a cashiers check OR money order for $35.95 plus S&H of $5.95 for a total of $41.90.

2.  You can mail in a personal or company check to the address above, for $41.90 plus $3.00 for a total of $44.90.  This extra fee is to offset the expense of NSF checks, closed accounts, handling fees, etc.  Checks that are not made out to HERBATROL, INC in the correct amount of $44.90 will be returned.  This is the only form you will need to become a distributor.

3.  You can fax your personal or company check to 817-572-2242.  This number is an order line only!!!  No more than one bottle of the product can be purchased this way.  Multiple purchases must be paid by cashiers check or money order and mailed in to the company.  You can also elect to have your product shipped automatically each month about the same time using our auto-ship plan.  By indicating your option in the space provided on this form.  You must mark the box to receive auto-ship.  The price for faxing your order in or auto-ship is the same.  The total is $44.90 each time.  IF you fax your check, do NOT mail us a copy.  Tape your check in this space.  Fax this application to the number above.  Make sure you fill in the nine digit routing number clearly.  These numbers appear on you check, just like the example shown below, in the left hand corner.  Place your routing numbers in that space.

DO NOT COVER ROUTING SYMBOLS  USE THE BELOW PART WHEN FAXING

Order For Month of _____________________________

Routing Numbers __ __ __ __ __ __ __ __ __

Checking Account Number _______________________________

If choosing auto-draft, specify check draft for ____5th or ____18th of the month.
 

 Home PageCare to compare?ProductCompany | Sign-up
Power Team Strategy | Professor’s Hidden Factor Report
 
TO ORDER A ONE MONTH'S SUPPLY OF Metamorphosis
AND BECOME ONE OF OUR DISTRIBUTOR PARTNERS

Print, complete and mail this form along with a Money Order or Cashiers check for $35.95 plus $5.95 Shipping and Handling for a Total of $41.90 to the address at the bottom of this screen. We strongly suggest that on initial orders you send it to Herbatrol, Inc., via overnight delivery or 2nd day Air to eliminate the delay associated with regular mail.

Herbatrol, Inc.
5849 Okeechobee Blvd, Suite 201,
West Palm Beach, FL 33417

Commission checks are paid on the 10th of each month,
FAX ON DEMAND: 415-273-6096

*All information contained in this website is based on Herbatrol's company materials, Dynamic Marketing Systems copyrighted information and calculations by The Master Networker, creator of The Master Networker Power Team Strategy.  Although some of these specific figures are easy to arrive at, The Master Networker Power Team Strategy website is fully copyrighted specifically by The Master Networker.  All other copyrighted materials belong to Herbatrol and Dynamic Marketing Systems and have been used with their permission.  Express permission is required from each of the entities in order to utilize any materials or design contained therein.
© KCE Web Designs exclusively for The Master NetworkerTM 1997
 

Email: nattypa@yahoo.com