SINGAPORE APPLICATION BY FAX/ INFO
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1 Singapore Associate Application/Agreement SM SINGAPORE APPLICATION BY FA/ INFO HOW TO SEND AN SINGAPORE APPLICATION BY FA OR To ensure efficient processing of your Singapore Associate Application/Agreement, Product and Automatic Order Form, follow these specific guidelines; 1. To ensure the application can be processed immediately, please complete all information on the form including; Associate information, mail to and ship to addresses, Enroller information, Sponsor information, method of payment (including expiry date and account number of the credit card) and signature of the applicant. 2. It is imperative that BOTH pages of the Application form be signed by the applicant and faxed to Mannatech. For your convenience please find a copy of the Agreement with a place for the signature and date. Applications will not be processed unless both pages are received signed and completed. Joint accounts (eg. John & Jane Citizen) must be signed by both parties. FA APPLICATIONS TO: OR TO: administration@mannatech.com.au If you choose to provide Mannatech with your address, you will receive details relating to your business such as: important information relating to specific orders you have placed, upcoming tours, special guest speakers, product information and backorder updates. Mannatech respects your privacy. Your personal information will not be made available to third parties. SUBSTITUTIONS AND/OR CHANGES CAN BE MADE WITHOUT PRIOR NOTICE PAGE 1 of 5
2 Mannatech Singapore Associate Application/Agreement FOR OFFICE USE ONLY ORDER #: ORDER #: ACCOUNT# 1 Your details. Title (e.g. MR, MRS, MS, MISS etc) of birth (MANDATORY) D D M M Y D D M M Y Y Business name (USE ONLY IF YOU HAVE BUSINESS CHEQUE ACCOUNT IN SAME NAME) Business name: Corporation Please note: If Trust, Partnership or Corporation account, relevant MOD (# or # ) must accompany this application Day telephone Mobile telephone FA REQUIRED (PLEASE PRINT) literature selections: Receive ALL info Corporate information ONLY Receive from my upline ONLY Receive NO info IF NO SELECTION IS MADE RECEIVE ALL INFO WILL BE ASSUMED. 2 Mailing and Shipping address. Mail To address Street address Postcode Ship To address (IF DIFFERENT FROM MAIL TO ) Street address Postcode SINGAPORE SINGAPORE Y 4 Pack options, orders and oayment. Mannatech guarantees your satisfaction. If you are not completely satisfied with your products contact the Customer Service team within 90 days for a full refund. See Policies & Procedures for full details. Yes, I want to order the following optional pack Pack description (SELECT ONE) Code Price (3) Champion packs Champion pack - please also complete & submit the Champion pack order form To set up an Automatic order please tick the box below and sign the Automatic order authorisation. If the box is not ticked or the Authorisation is not signed, the order will be counted as a One Time order. Order Code Yes, I want an Automatic order!* Please bill and ship my Automatic Order every 28 days, beginning: Product Description One Time Order Price D D M M Y Y Auto Order Price QTY Total Shipping $12.00 TOTAL *Automatic Order authorisation By choosing the Automatic order option above, I understand the Automatic order generates on a 28 day cycle, is optional and will continue until the Mannatech Corporate Office receives either my written notification or my verbal notification, by calling , showing either termination or a change in the order. This order does not become a binding contract until accepted at Coppell, Texas USA on behalf of Mannatech Swiss International GmbH. PLEASE NOTE: If you do not indicate above the date you would like your Automatic order to begin, the order will be processed 28 days from the date the application is processed. For Automatic order changes on an existing order please do not use this form. Automatic orders are paid by Direct Debit or Credit Card ONLY. Signature/s of Applicant/s Payment method (Please complete and sign) visa mastercard amex Credit card number Cardholder name min. $226 Osolean Powder Pack (+ Shipping $12.00) $165 Ūth Preferred pack (+ Shipping $12.00) $150 Ūth Champion pack (+ Shipping $12.00) $250 Champion pack - please also complete & submit the Champion pack order form All Star packs Champion All Star pack - please also complete & submit the All Star pack order form MOD# Champion Team Builder All Star pack All Star pack order form MOD# min. $ min. $ min. $1500 By signing below, I choose to purchase and authorise payment for the selected product pack and order indicated above. Expiry M M Y Y 3 Enroller and Sponsor information. Must be completed prior to submission to Mannatech. The Enroller and Sponsor may be the same person, or the Enroller may place the new Associate under another Sponsor in his/her sales organization. Neither the Sponsor nor the Enroller receives any bonus, payment or other benefit from the recruitment of a new Associate. ENROLLER details Account number Day telephone ( ) Cardholder Billing address Cardholder signature (PLEASE PRINT) Telephone ( ) SPONSOR details Account number 5 Signature. Please also complete and sign the Terms and Conditions. Yes, I want to register! I agree to adhere to the Associate Agreement on the back of this Application which consists of the Terms & Conditions, Policies & Procedures and Career and Compensation Plan to the Associate Policies and Procedures document. I understand I have the right to terminate my Agreement at any time with or without reason. I agree such termination must be in writing. By signing below I apply to become a Mannatech Associate. Signature/s of Applicant/s (If application is on behalf of a company, an officer must sign for the company.) FA MAIL Fax this completed form to: Include payment information with your order. If ordering by fax, do not fax twice or mail hard copy of order to Mannatech. Send this completed form with payment info to: MANNATECH AUSTRALIA PTY LTD LOCKED BAG 5000 ST LEONARDS NSW 2065 AUSTRALIA Scan and this application to: administration@mannatech.com.au MANNATECH SINGAPORE PTY LTD. REG.# D ALL PRICES ARE IN SINGAPORE DOLLARS PAGE 2 of 5
3 SGP All Star packs YOU MUST COMPLETE & SEND PAGES 2 & 3 OF THIS DOCUMENT FOR YOUR ORDER TO BE PROCESSED ACCOUNT # pack OPTIONS PLEASE SELECT ONE OF THE FOLLOWING TWO OPTIONS OPTION 1: $750 CHAMPION ALL STAR PACK (#135616) OPTION 2: $1500 CHAMPION TEAM BUILDER ALL STAR PACK (#135516) YOU MAY ECEED THE ABOVE AMOUNT BY 50%. ANY OVERAGE IS PAYABLE BY YOU. NO COMMISSION IS PAID ON OVERAGE. CODE PRODUCT NAME UNITS ASSOCIATE PRICE $ SGD AMBROTOSE AO 60 capsules AMBROTOSE AO 4 - PACK 4 x 60 capsules AMBROTOSE COMPLE 75g powder ADVANCED AMBROTOSE w/manapol 120 capsules ADVANCED AMBROTOSE w/manapol 60g powder ADVANCED AMBROTOSE w/manapol 120g powder BOUNCEBACK 60 capsules CATALYST 120 caplets EM PACT Pre Workout Sports Drink 360g powder EMPRIZONE 142g gel GI-PRO BALANCE 30 slim sticks IMMUNOSTART 60 tablets MANNA BEARS 300g bears MANNA-C 60 capsules NUTRIVERUS 150g powder NU-FLAVOUR Packets - Vanilla (10) 10 sachets NU-FLAVOUR Packets - Chocolate (10) 10 sachets OMEGA-3 WITH VITAMIN D3 60 capsules OSOLEAN 2x366g powder PHYT ALOE 60 capsules PHYTOBURST NUTRITIONAL CHEWS 60 chews PHYTOMATRI 120 caplets PLUS 90 tablets SPORT with Ambrotose 60 capsules ŪTH CLEANSER 112ml ŪTH SKIN REJUVENATION CRÉME 30ml ŪTH TRAVEL SACHETS (3 BOES) 3 x 10 sachets 150 QUANTITY TOTAL VALUE ON SELECTED PRODUCTS $ TOTAL $ SUBTOTAL ALL PRICES IN SINGAPORE DOLLARS SUBSTITUTIONS AND/OR CHANGES CAN BE MADE WITHOUT NOTICE. PAGE 3 of 5
4 SGP Champion packs pack OPTIONS PLEASE SELECT ONE OF THE FOLLOWING TWO OPTIONS OPTION 1: $226 CHAMPION PACK (#133516) OPTION 2: $445 CHAMPION PACK (#132016) CODE PRODUCT NAME UNITS ASSOCIATE PRICE $ SGD AMBROTOSE AO 60 capsules AMBROTOSE AO 4 - PACK 4 x 60 capsules AMBROTOSE COMPLE 75g powder ADVANCED AMBROTOSE w/manapol 120 capsules ADVANCED AMBROTOSE w/manapol 60g powder ADVANCED AMBROTOSE w/manapol 120g powder BOUNCEBACK 60 capsules CATALYST 120 caplets EM PACT Pre Workout Sports Drink 360g powder EMPRIZONE 142g gel GI-PRO BALANCE 30 slim sticks IMMUNOSTART 60 tablets MANNA BEARS 300g bears MANNA-C 60 capsules NUTRIVERUS 150g powder NU-FLAVOUR Packets - Vanilla (10) 10 sachets NU-FLAVOUR Packets - Chocolate (10) 10 sachets OMEGA-3 WITH VITAMIN D3 60 capsules OSOLEAN 2x366g powder PHYT ALOE 60 capsules PHYTOBURST NUTRITIONAL CHEWS 60 chews PHYTOMATRI 120 caplets PLUS 90 tablets SPORT with Ambrotose 60 capsules ŪTH CLEANSER 112ml ŪTH SKIN REJUVENATION CRÉME 30ml ŪTH TRAVEL SACHETS (3 BOES) 3 x 10 sachets 150 QUANTITY TOTAL VALUE ON SELECTED PRODUCTS $ TOTAL $ SUBTOTAL ALL PRICES IN SINGAPORE DOLLARS. SUBSTITUTIONS AND/OR CHANGES CAN BE MADE WITHOUT NOTICE. PAGE 4 of 5
5 Singapore Associate Application/Agreement All Applicants must sign both sides of this form. If the Application is sent via fax, SMboth sides of the form must be faxed to: FOR OFFICE USE ONLY ACCOUNT# ASSOCIATE TERMS AND CONDITIONS 1. Upon acceptance of this application by Mannatech Swiss International GmbH (hereinafter referred to as the Company ) and the issuance of an account number, I am authorised as an Independent Associate ( Associate ) as of the date of this Associate Application & Agreement. The provisions of the Policies and Procedures, as amended from time to time and Career and Compensation Plan, as amended from time to time, are expressly incorporated hereto. This Associate Application and Agreement, the Policies and Procedures, as amended from time to time, and Career and Compensation Plan, as amended from time to time, are accordingly collectively referred to as the Agreement. The term of the Agreement is one year. 2. The Company is not responsible for withholding, and shall not withhold or deduct from my bonuses and commissions, if any, taxes of any kind, unless such withholding becomes legally required. I agree to be bound by tax collection agreements between the Company and all appropriate taxing jurisdictions, and all related rules and procedures. 3. I understand as an Associate: a. I have the right to purchase products and services from the Company s affiliated companies, including Mannatech Singapore Pte. Ltd., (collectively referred to as Mannatech ) at Associate cost. b. I have the right to offer for sale Mannatech, products and services in accordance with this Agreement. c. I have the right to establish a downline sales organisation of Associates and/or Members and to register persons in Mannatech and to make sales to such persons for this purpose. If I do, I will be responsible for training my downline sales organisation on effective and lawful methods of building a successful business. d. I am an independent contractor and not an employee, agent, partner, legal representative or franchisee of the Company. I will determine my own working hours and methods of procuring orders. I am not authorised to and will not incur any debt, expense or obligation or open any bank account on behalf of, for, or in the name of the Company. I agree I will be solely responsible for paying all expenses that I may incur, including but not limited to travel, food, lodging, secretarial, office, long distance telephone and other expenses. I UNDERSTAND I AM AND SHALL BE TREATED AS AN INDEPENDENT CONTRACTOR OF THE COMPANY FOR ALL PURPOSES, INCLUDING FOR ANY TA PURPOSES. e. I understand I must keep accurate records of retail sales, and that the Company may periodically ask me to provide documentation of such sales to the Company. f. I will use only the sales contracts and order forms provided by the Company for the sale of its products, and I will follow all policies and procedures established by the Company for the completion and processing of such contracts and orders. g. I will not make make any false representations, omit material information or engage in any misleading conduct in conducting my Company business. I will use only Mannatech-approved promotional materials when representing Mannatech, offering the business, Career and Compensation Plan, training other Associates and/or making representations as to the products. I agree to present the Career and Compensation Plan and Mannatech products as set forth in official Mannatech literature approved for use in the country of operation in which I am conducting business. I will make no claims, statements, disclosures, representations or warranties regarding products, or services not printed in Mannatech s literature in either selling the products or in promoting the business opportunity to prospective Associates. h. I will make no claims, statements, disclosures, representations or warranties regarding potential or actual income or earnings associated with the Mannatech business or Career and Compensation Plan. i. All products purchased will be for personal use, sale to or use by an end-consumer, and I will not purchase any products or services solely for the purpose of qualifying for overrides, commissions or bonuses. j. If I fail to annually renew my Agreement, I understand I will lose certain rights under the Career and Compensation Plan until such time I have renewed my position in accordance with the terms of the then-current Career and Compensation Plan. 4. I may not assign any rights or delegate my duties under this Agreement without the prior written consent of the Company. Any attempt to transfer or assign this Agreement without the express written consent of the Company renders this Agreement voidable at the option of the Company and may result in termination of this Agreement. 5. I will comply with all national, provincial, federal, and municipal laws, ordinances, rules and regulations and will make all reports and remit all withholdings or other deductions as may be required by any national, provincial, federal, or municipal law, ordinance, rule or regulation. 6. The Agreement as defined above constitutes the entire contract between the Company and myself. Any promises, representations, offers or other communications not expressly set forth in this Agreement are of no force or effect. To the extent of any conflict or inconsistency between this Agreement and any other agreement, this Agreement shall supersede and prevail over any term of any other agreement as to the matters addressed herein. To the extent of any conflict or inconsistency between this Associate Application and Agreement and the Policies and Procedures (in their current form or as subsequently modified), the Policies and Procedures shall in all instances supersede and prevail over any term of this Associate Application and Agreement as to the matters addressed herein. 7. I agree to carefully READ and COMPLY with all provisions contained within the Agreement as defined herein. I understand that the Policies and Procedures and the Career and Compensation Plan may be amended from time to time, and I agree that any revisions or amendments shall become binding for me upon the publication of such revisions on Mannatech Online Documents or as officially announced in any Company communication. The continuation of this Agreement or my acceptance of bonuses or commissions shall constitute my acceptance of this Agreement, and any and all amendments. I understand I must be in good standing, and not in violation of any of the terms of this Agreement, in order to be eligible to receive any bonuses or commissions. I understand that I shall control the manner and means by which I operate my Company business, subject to my compliance with the Agreement and applicable law. In the event that a provision of this Agreement is held to be invalid or unenforceable, such provision shall be reformed only to the extent necessary to make it enforceable, and the balance of the Agreement will remain in full force and effect. 8. To the extent permitted by law, the Company, its affiliated companies, its directors, officers, shareholders, employees, assigns and agents (collectively referred as Affiliates ) shall not be liable for, and I release the Company and its Affiliates from, and waive all claims for any loss of profits, indirect, direct, special or consequential damages or any other loss incurred or suffered by me as a result of: (a) my breach of this Agreement or the Policies and Procedures; (b) the promotion or operation of my account and any activities related to it (e.g., the presentation of products or Career and Compensation Plan, the operation of a motor vehicle, the lease of meeting or training facilities, etc.); (c) any incorrect or wrong data or information provided by me; or (d) the failure to provide any information or data necessary for the to operate its business, including without limitation, my registration and acceptance of the Career and Compensation Plan or the payment of commissions or bonuses. I agree the entire liability of the Company and its affiliates for any reason whatsoever related to the relationship of the Company and myself, including, but not limited to, any cause of action sounding in contract, tort or equity, shall not exceed and shall be limited to the amount of products I have purchased from the Company under this Agreement or any other agreement that are in resalable condition. 9. This Agreement will be governed by and construed in accordance with the laws of Singapore. By signing below, I apply to be an Associate of the Company and I confirm I have read and understood the statements above and the Company s requirements regarding accuracy of representations regarding its products, the Policies and Procedures and Career and Compensation Plan. 10. This order does not become a binding contract until accepted at Coppell, Texas USA on behalf of Mannatech Swiss International GmbH. applicant signature/s date please print all applicable applicants names SUBSTITUTIONS AND/OR CHANGES CAN BE MADE WITHOUT PRIOR NOTICE PAGE 5 of 5
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