Address: Door 8 Arcade, Gov Duterte St, Davao City, 8002

Email add: hiyangorganics@gmail.com/www.hiyanginternational.org

Hiyang Membership Form

Type of Kit: ________________________________________
Name: ________________________________________
Birthdate: ________________________________________
(MONTH / DAY / YEAR)
Contact Number: _______________________________________
Complete Address: _______________________________________
_______________________________________
Sponsor’s Name: _______________________________________

_______________________________
Signature over printed name
*You have given ten (10) to fifteen (15) days from the date of kits received to pay 1,000 pesos
each kit for the membership to legally qualify as a hiyang reseller and avail all incentives and
other benefits.

Address: Door 8 Arcade, Gov Duterte St, Davao City, 8002

Email add: hiyangorganics@gmail.com/www.hiyanginternational.org

Hiyang Membership Form

Type of Kit: ________________________________________
Name: ________________________________________
Birthdate: ________________________________________
(MONTH / DAY / YEAR)
Contact Number: _______________________________________
Complete Address: _______________________________________
_______________________________________
Sponsor’s Name: _______________________________________

_______________________________
Signature over printed name

*You have given ten (10) to fifteen (15) days from the date of kits received to pay 1,000 pesos
each kit for the membership to legally qualify as a hiyang reseller and avail all incentives and
other benefits.