Independent Brand Partner Application
Step 1: Become a Brand Partner
Brand Partner Launch Kit
• Nerium Success Planner• 10
A Real Breakthrough
DiscBrochures• 25 Product Brochures• Nerium Corporate Brochure• Nerium Success Training CD Set by Jeff Olson• Real Results Party DVD•
The Slight Edge
by Jeff Olson• Jim Rohn and Robert Kiyosaki CDs• Additional Marketing Materials• 30-Day Trial Real Life Library• 30-Day Trial Nerium Advanced Business Center
Nerium Success Pack
• Includes the Brand Partner Launch Kit
• Five (5) bottles of NeriumAD Age-Defying Treatment• 90-Day Access to Real Life Library• 90-Day Access to Nerium Advanced Business Center($14.95 USD/month thereafter)• Nerium Auto-Delivery Order Program (ADO)
One (1) bottle of NeriumAD each month, beginningnext month, at the discounted Auto-Delivery price.
Step 2: Auto-Delivery Order (ADO) Options
Please enroll me in the Nerium Auto-Delivery Order Program. My Nerium Auto-Delivery Order will be processed and shipped starting next month, on the sameday of the month that my original order is processed. If that day falls on a weekendor holiday, the order will be processed on the last business day prior. The paymentmethod used for my initial enrollment will be used for my Auto-Delivery Order.
Step 3: Purchase Additional Product
QuantityDescriptionAuto-Delivery Brand Partner Price:$80 USD per bottleNon Auto-Delivery Brand Partner Price:$100 USD per bottle
Shipping & handling andapplicable sales tax will beadded to your total order atthe time it is processed.NeriumADTotal from Step 1:Total from Steps 1 and 3:
Manage Your Business With the Advanced Business Center
Enroll in Nerium Advanced Business Center
(Includes business management tools, online marketing system, Real Life Library, and more!)
If you enrolled only with a Brand Partner Launch Kit, you will receive a 30-day trial of the AdvancedBusiness Center. Check the box if you want to enroll to receive ongoing access for $14.95 USD monthly.
Log-in and Marketing Information
Choose a name for your branded Nerium website
Example: www.yourname.nerium.com__________________ __________________Option 1 Option 2
This will also be your username for logging in to your Business Center.
Choose a Password__________________________________
Password must consist of letters or numbers only.Must be 4-15 characters in length.
AMEX________________________________________Card Number_________ /____________ _________________EXP. (MO/Year) Security Code________________________________________Name on Card________________________________________Billing Address_____________________ ______ __________City ST/Prov.
________________________________________Signature of Cardholder
Sponsor (Brand Partner Who Introduced You to Nerium)
______________________________________________________________________________________Sponsor’s Nerium ID Number or Username______________________________________________________________________________________Sponsor’s Name (Last, First, Middle)
Name (Last, First, Middle)______________________________________________ _______________SSN or Tax ID Number Date of Birth_______________________________________________________________Business Name (if applicable)_______________________________________________________________Shipping Address (Must be a physical address. Cannot ship to a P. O. Box)________________________ _______ ________________ _
City ST/Prov Zip/Postal Code Country_______________________________ ______________________________Email
Phone Number (check one:
COST: $99.95 USDCOST: $499.95 USD
OVER $1,000 VALUE
I authorize Nerium™ International to charge the above named account for the enrollment option selected. I understand that Nerium International will apply applicable taxes and shipping and handling charges to my order. If an Auto-Delivery ormonthly Nerium Advanced Business Center subscription is included in the purchase option, I authorize Nerium International to ship/charge for these products monthly. Cancellation must be submitted in writing at least ve (5) business days priorto the Auto-Delivery or Nerium Advanced Business Center billing cycle date. I understand that all nancial transactions are in US Dollars.My signature below indicates that I have carefully read and understand the terms of the Agreement and Auto-Delivery Agreement on the reverse side of this Application and I am willing to accept the terms and conditions herein. As an IndependentBrand Partner, I understand that I have the right to cancel at any time, for any reason. Cancellation must be submitted in writing to the Company at its principal place of business. This agreement is not effective until accepted by Nerium Internationalat its principal place of business.
Applicant Signature: ______________________________________________________________ Date: ____________________________________
All signatures to this application must be afxed personally. Applicants must be of legal age. See reverse side for Terms of Agreement and Auto-Delivery Agreement.
One (1) Bottle NeriumAD$80 USD – Savings of $20
Success Pack purchase automatically
enrolls you with this option.
Two (2) Bottles NeriumAD
$150 USD – Savings of $50
Upgrade Your Success Pack Auto-Delivery Order to 2 bottles.
International – 07/11