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HERBALIFE INTERNATIONAL OF AMERICA,

INC. 950 W. 190th St., Torrance, CA 90502


Mailing Address: P. O. Box 80210 Los Angeles,
California 90080-0210 866 866-4744 – Toll Free

310 258-7019 – Associate Relations Fax

REQUEST FOR TRANSFER OF ASSOCIATESHIP TO NON ASSOCIATE/NON-SPOUSE

POLICIES

Herbalife International will consider your request to transfer your Independent Associateship with your
understanding that Herbalife has absolute discretion to consent to or deny this request, as indicated on
your Agreement of Associateship, Clause #7.

In addition, as stated in Rule 12-C in the Rules of Conduct and Associate Policies section of your
Herbalife Career Book, the achievements of a Associate are personal to the individual, and as such, if
an assignment or transfer should be authorized, the status and benefits achieved by the Associate are
not necessarily transferred with the Associateship. The individual assuming responsibility may be
required to achieve all qualifications for status and earning requirements after the assignment or
transfer is made. This includes, but is not limited to, Supervisor status, TAB Team status, vacation
qualifications, as well as rights to or benefits from the downline organization or any other rights of the
individual Associate.

Before proceeding with your request, please note that the transfer will not be considered if the
proposed Associate has been involved in the Herbalife business in any way in the previous
twelve (12) month period, as stated in Rule 7 -D, “Period of Inactivity.” In addition, if the transfer is
approved, the transferring Associate must also maintain a one (1) year period of inactivity, as defined in
Rule 7-E, before applying for another Associateship. Failure to abide by these rules is considered a
violation of the Marketing Plan, and will result in termination of the Associateship in violation.

The following form may be used for your request. You may use any other form or type of document,
however, it must contain the provisions contained within the form provided by Herbalife.

PROVISO

The Transferor shall, if the transfer is approved, remain liable to Herbalife for any and all debts owed by
him or her to Herbalife, which may have arisen prior to the date Herbalife approves the transfer of the
Associateship. This provision shall not limit the Transferee's liability for such debts.

Without limiting the burdens undertaken by the Transferee, the Transferee shall be, if the transfer is
approved, responsible and liable to Herbalife for any and all violations of Herbalife's rules, regulations,
policies or procedures committed by or on behalf of the Transferor in connection with the Associateship.

The transfer will be effective retroactive to the first day of the month during which it is approved.

The Transferor and the Transferee shall each hold Herbalife harmless for any action taken by it and/or
any action not taken by it in connection with the transfer. Furthermore, the Transferor and the
Transferee shall each indemnify Herbalife against any expense, cost, liability, damage or injury
(including attorney's fees as incurred) which in any way results or arises from any claim or lawsuit
against Herbalife which in any way results or arises from the transfer of the Associateship. In addition,
Transferee attests to the fact that he/she has not been involved in the Herbalife business in any way
within the past 12 months, according to the Rule for Rejoining as a Associate, Rule 7E of the Herbalife
Rules of Conduct and Associate Policies.

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TRANSFER NON SPOUSE - USA
Revision: 061209
HERBALIFE INTERNATIONAL OF AMERICA,
INC. 950 W. 190th St., Torrance, CA 90502
Mailing Address: P. O. Box 80210 Los Angeles,
California 90080-0210 866 866-4744 – Toll Free

310 258-7019 – Associate Relations Fax

REQUEST FOR TRANSFER OF ASSOCIATESHIP TO NON ASSOCIATE/NON-SPOUSE

ATTENTION: This legal document is intended to irrevocably transfer your Associateship. Further, the
transfer of your Associateship could potentially have profound legal implications, including significant tax
implications. You should consult with your lawyer and accountant before signing any document purporting
to transfer your Associateship. By making this form available, Herbalife is not implying that it is appropriate
for your circumstances.

, (hereafter the “Transferor”), hereby assigns


(name of current Associate)
and transfers the Herbalife Associateship (hereafter the "Associateship") currently bearing the identification

number , to ,
(Associate’s Herbalife ID #) (name of proposed Associate)

(hereafter the "Transferee"), subject to the approval of Herbalife International of America, Inc. (hereafter
"Herbalife"), in its sole discretion. The Transferee hereby accepts from the Transferor, the Transferor's
Associateship, along with all the benefits and burdens arising therefrom and associated therewith in
exchange for and in consideration of $1.00 had and received.

The transferee will execute the assigned Associateship application with the intention of actively working the
Herbalife business and being bound by all of Herbalife’s rules, regulations, policies and procedures, and with
the intention of requesting that Herbalife’s records be changed so as to reflect a new name, address,
personal tax identification number, and identification number for the Associateship.

Please indicate the reason for the transfer:

Once your request is reviewed and accepted by Herbalife, you will be notified by mail. Until you are notified
that the request has been approved, you will remain responsible for all business activities conducted by your
Associateship. If you have any questions, please feel free to contact the Associate Relations Department at
(866) 866 4744.

Dated Transferor’s Signature Telephone #

Dated *Spouse’s Signature Telephone #


*Note: The spouse’s signature is required if the spouse’s name is on the Transferor’s Associateship record and
there have been no requests to remove that spouse’s name.

Notary Section – Herbalife requires that each person sign this form in the presence of a notary.

Date Notary Signature Notary Seal

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TRANSFER NON SPOUSE - USA
Revision: 061209
HERBALIFE INTERNATIONAL OF AMERICA,
INC. 950 W. 190th St., Torrance, CA 90502
Mailing Address: P. O. Box 80210 Los Angeles,
California 90080-0210 866 866-4744 – Toll Free

310 258-7019 – Associate Relations Fax

THIS PAGE TO BE COMPLETED AND SIGNED BY THE PROPOSED TRANSFEREE.

Name of the person who will be working the business after the transfer:

This statement applies to both the applicant (proposed Transferee) and his/her spouse. Please
select one of the following options:

A. I, _______________________________, declare that neither I nor my spouse have ever been an


Herbalife Independent Associate; nor have I or my spouse participated in or assisted with the
operation of any other Herbalife Independent Associateship.

B. I, _____________________________, declare that I have held a previous Associateship, or have


participated in or assisted with the operation of a Associateship, under the name of
_______________________________, Herbalife ID Number ___________________.

Please indicate your relationship to the Transferor:


(relationship to Transferor)

Please indicate your date of birth: / /


(month) (day) (year)

Herbalife International reserves the right to deny a transfer request based on our determination of the
applicant's eligibility.

As a condition of Herbalife’s acceptance of this proposed transfer of Associateship, and for


Herbalife’s acceptance of the transferee’s Associateship Application, the transferee:

(a) agrees that for a period of six months following the effective date of the transfer, any acts by the
transferor and/or his/her spouse, which would violate Herbalife’s rules if the transferor were still a
Associate, shall be treated as though such violation were the transferee’s violation;
(b) represents and warrants that neither the transferor nor his/her spouse has or shall have any ongoing
economic interest in or benefit from the transferred Associateship, directly or indirectly.

Enclosed is my signed Application for Associateship. I understand that the Application is not considered
valid until it has been accepted by Herbalife.

Transferee’s Printed Name Tax-payer ID (TIN)/ SSN number – (REQUIRED)

Transferee’s Signature Date Telephone #

Notary Section – Herbalife requires that each person sign this form in the presence of a notary.

Date Notary Signature Notary Seal

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TRANSFER NON SPOUSE - USA
Revision: 061209

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