SHAKLEE® APPLICATION Tar ore TREORT PLEASE PRINT CLEARLY. ALL SIGNATURES IN INK. < Language preerence: English © Spanish © Chinese ‘Cheek hee you have applied by phone oo (heck here dking spouse information OR FOUSES NAG APPUCRBLE Fi aa n = 1 i — fees Eee | | YOUR ETVTOWN CORNY STATE EP COOE ——. n oe | SNORTILOR —DMVERSCRORSTATEIOCAROR = YOUR SRT OATE ray YOUR PHONE NUMBER Tach ow SROUSETGALITN DANVERS UCR ORSTATED CARDS ——_—_ SPOUSES RTH DATE a BA 5/440 | 7 q RIADLAG 2a; “WE poo eT freehatabe lak a Cueing ton Wiliams Oa ne oS Se eRe TATE et a "ESI want GOLD Anbasafr Mision PAK Erle New Dsrfr Welcome Drop TP ca. penire Tey” Calton 15978? haten Tey Sn Can Concent Op #8280) malo CSE 1 Try Cts 276 ety He ety" Can #503 1 on eon 218 Xetr OLD Pm Tiny On #50S085102 20000 | YESH want the Naw itu Weleme Ko on Lh 3095 | YES! want the New Mebe Pack | asar ws | rrr | me 20 | Sig for Personal We it ens we 145m | | Ask your Sponsor about other products ‘Sign me up on AutoShip sol can save 10%" Wibx and Vtalizer™ ies ve anda (none an). Wr 20246 tr rom 20247 Wr Gol a8 Fe fora Healtior Life ise Was Nar, Ci ata Wnae 20046 ers on v2e7 Win als e0cee SUBTOTAL: S (CHOOSE YOUR METHOD OF PAYMENT. ‘heck her cashier's check or mony order is enclosed pe You may pay yc cart or air bck CHARGE TO MY: OMASTERCAROT OVSAY O AMEX 0 DISCOVER Distt Fe eto i tse, yu mus yb reat cettoaiornewety cape vreom Logie tt LL | | ard wi charged wean Sake processes AND NUMBER a Your eet submiting csi’ coc, pleas ca 1 at0SMALEE fr complet eeer charges, ecg shipping & rand ard ‘ax Soy, personal eke ar a aca SGNATURE OF CARDHOLOER IT |/We agree to abide by the terms set forth in the P&R, as amended from time to time, and other Shaklee publications, including any subsequent changes thereto. The PA canbe ound at MyShaklescom. —aaceRNTTNGRANREN RS 1/We have read and agree to all terms and conditions stated - —_ on Page 2 and certify that all the information provided is correct. SFGUSESSGNATURE FONING [NINH one Shaklee ‘Maik: Stakloo Corporation, tn: Fld Support, P.O. Box 840, Pleasanton, CA 94588, Fax: 1,888 SHK 4FAX (1.888.745.4929) WHITE tase ELON peat PKMEMBERSHIP Membership Requirements ‘You must be atleast 18 years of age and reside in the United States or a U.S. tenritory. You may provide ‘Shaklee with either your Social Security Number (SSN), Individual Taxpayer Identification Number (TIN), Driver's License number, or State Identification Care ‘number issued in your own name. To join Shaklee with an ITIN, you must attach a copy of your IRS Form CP565 (Assignment of Individual Taxpayer ‘dentification Number. Members may sign up indvidualy or jointly with their spouse, Spouses may rot have separate Memberships. No additional purchase is necessary, and you ae not required to make ‘any financial investment to become a Member, Please notify Shaklee of any change in street or email ade. or telephone number, 1D Number ‘You wil be issued a unique Shaklee ID number that should be used forall communications with Shaklee, including sponsorship. Membership Privileges Acceptance ofthis application by Shakiee allows You to purchase Shaklee products a prices below ‘suggested retail directly from Shaklee or trom your ‘Sponsor or Business Leader. Members may sponsor Cther Members, but ae not eligible to receive bonuses or other compensation. The Statement of Privileges and ies of Shaklee Family Members The PA, as amended from time ta time, isthe official document governing the relationship between Shaklee Family Members and Shaklee Corporation, ‘Annual Renewal/Governing Law DISTRIBUTORSHIP Distributors May Sponsor Others and Earn Bonuses You must be atleast 18 years of age and reside inthe United States ora USS. teritory You must provide Shaklee with a vad Social Security Number (SSN) or Individual Tax Payer identication Number (TIN issued in your own name. Acceptance of this application by Shaklee allows you to purchase ‘and sell Shaklee products and to earn bonuses. In addition, you may sponsor ‘others and have sponsorship rights with respect to their downlines, as described in the P&R. | understand my name and contac information will be shared with Shaklee Distributors and Business Leaders who are part of my direct sponsorship ineage and on whose paid-on recap | appear. Distributing Products Because Shakloe is committed to the health and welhbeing of our Distibutrs, Shaklee Distributors may not distribute Shaklee products tirecty or indirecty to or from retail stores or Internet auction sites. Nor may they dstbute products to Members or Distibutors outside thei Personal Group. You Can Build a Business ‘Shaklee publishes an authorized Compensation Plan, wich outines the benefits and requirements ofa Shaklee business. inforration on how to bul a ‘Shaklee business is avaiable from your Sponsor andor Business Leader. Independent Contractor Status ‘Shaklee Independent Distributors are INDEPENDENT CONTRACTORS. Independent Distributors are not employees of Shaklee or of any Shaklee Independent Distibutorships and may not so represent. The Distributor wil ‘ot be treated as an employee for federal or state tax purposes. Nor wil the Distiautor be treated as an employee for purposes of the Federal Insurance Contributions Act or any other laws covering employees Unauthorized Claims ‘Shaklee Distributors may not make claims about Shaklee products, or the ‘Shaklee Compensation Pan, that are contr to iterature and labels published by Shakloe. The PA, as amended from time to time, is incorporated in this Agreement. Pease review itcarefuly with your Sponsor or Business Leader. Because it sets the foundation for how we do business, ia Shaklee Distributor does nat folow the P&A, he ar she may be subject to remedies for breach of contact, including termination oftheir Distributorship, Shaklee Members and Distributors have the opportunity to renew annualy, This Agreement is effective upon accoptance by Shaklee, and is governed by the laws ofthe state of California, Georgia residents: Further information regarding Shakloo is on fle with the state's Department of Consumer Affairs *AUTOSHIP TERMS Note: AutoShip orders ship Monday through Friday, excluding holidays. Changes and cancellations can be made at MyShaklee.com or by calling 1.800.SHAKLEE. ‘You authorize Shaklee to ship the items indicated on ths order and iterns on any supplemental orders of change/moditication orders, ‘which ar incorporated herein by teterence, or as otherwise requested by you or on your behalf, ON A RECURRING BASIS atthe intervals indicated and to charge this creditcard account the current price atthe time of shipment. PRICES AND ITEM FORMULATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. You understand that these ordored terns wil continue to be shipped at intervals indicated ‘and that you are obligated to pay for them until you cancel or modify your order. Sakae reserves the ight to cancel this order at any time, Shaklee’ (22008 Stalloe Corporation. istrbuted by Shale Crportion, Plessanon, CA S4SEB #75485 fe. 108)