Registration Form
Registration Form
Registration Form
Possibilities
SM
Join Us!
Whether you are interested in Health, Skin Care, Weight and Fitness or sharing Mannatechs products and opportunity with others, you have a variety of options. Inside are just a few of our most popular packs. We recommend you discuss with your Enroler the best option for you.
Premium/All-Star Packs
Health Pack (Advanced or Complex)
Mannatech offers consumers a better quality of life in the three areas of greatest concern: their health, weight and fitness, and skin. The premium packs maximise all your benefits, which include: 100% Six-Month Satisfaction Guarantee* A trusted brandweve been a wellness industry leader since our founding in 1994 24-7 training and free global websites Fantastic incentives and recognition for your efforts Worldwide customer service
Skin Care
Weight Management
Custom
Basic Packs
Additional Basic Pack available: Basic Ambrotose Complex Pack (#100917) R740 Basic PhytoBurst Pack (#118717) R1,025 Registration Pack (#100317) R335
For a complete listing of all available packs, please visit Mannatech.com. All packs include the sales kit designed to provide you with information and training to help you share Mannatech products with others. Combining your Registration Pack purchase with an ongoing 100 QV Automatic Order (optional) helps ensure you are eligible for all bonuses available for your Associate level. *Mannatech guarantees your satisfaction. If not satisfied, contact Customer Care and return the product within 180 days for a refund. See Section 5.13 of the Associate Policies & Procedures for details.
datE oF birth
Last naME
1
SponSor informAtion
Must bE FiLLEd out prior to subMission to MannatEch. or intL appLication i.d. nuMbEr or sin or businEss nuMbEr
countrY___________
nO
If the applicant is under the age of 18, complete and return MOD 1802001 Letter of Consent for Minor Children with the application.
businEss naME soLE propriEtorship cLosE corporation privatE coMpanY pLEasE notE: If trust, corporation or partnership account, the Mannatech online Documents 1806301 and 1806401 must accompany this application.
R335
Last naME
Premium Advanced AmbrotosePack 112217 Premium Ambrotose Complex Pack 112317 Premium Custom Pack Premium OsoLean Pack Premium Skin Care Pack
Basic Mannatech LIFt Skin Care Pack
Mail to information
addrEss LinE 1
R4,300 R4,300
enroler informAtion
the Enroler and sponsor may be the same person, or the Enroler may place the new associate under another sponsor in his/her sales organisation. neither the sponsor nor the Enroler receives any bonus, payment or other benefit from the recruitment of a new associate.
account nuMbEr u.s. ssn or FEd. id. nuMbEr
addrEss LinE 2
*See instruction page of this form for details of these packs. Premium Custom Packs MUST be purchased online. Follow instructions at mannatech.com
suburb
Due to complex customs duty and VAt calculations, please call Sales Support at 0800 981 117 to obtain your order total prior to sending payment.
postaL codE
countrY
+ =
First naME
daY tELEphonE
3
cASh order
crEdit card nuMbEr
EvEning
EvEning tELEphonE
Automatic order
code SIngLe PRoducT deScRIPTIon ReTAIL WHoLeSALe PRIce PRIce QTY
FaX
NOTE: For your protection, Mannatech reserves the right to hold credit card orders for address verification. Declined credit card orders will be held for authorization for 10 business days. If we are unable to obtain an authorization we will cancel the order.
E-MaiL addrEss (pLEasE print)
AmericAn expreSS
_______________________________________________________________________________________________
subtotaL
exp. dAte
X
accounthoLdEr signaturE datE
addrEss LinE 2
suburb
citY
AutomAtic order autoMatic ordEr shipping & handLing Shipping & hAndling
postaL codE
countrY
Authorisation
5
by signing i apply to become an associate with Mannatech swiss international gmbh, and agree to abide by the terms and conditions as stated on page three of this document.
i understand that the associate automatic order is optional and will continue until the Mannatech corporate office receives either my written or verbal notification, by calling 0800 981 117, requesting cancellation.
X_____________________________________________________________________
signaturE oF appLicant datE
X_____________________________________________________________________
signaturE oF co-appLicant
I grant my permission for the minor applicant named above to participate, jointly with me, as an Independent Associate. (this statement applies to minor applicant only.)
datE
1801517.0911 page 2 of 3
Mannatech, Incorporated Attn: South Africa Operations 600 S. Royal Lane, Suite 200 Coppell, TX 75019 2011 Mannatech All rights reserved. For distribution in South Africa only. South Africa.15156.0911
Associate Information
1. Upon acceptance of this application by Mannatech Swiss International GmbH (herienafter referred to as the Company) and the issuance of an account number, I am authorized as an Independent Associate (Associate) as of the date of this Associate Application & Agreement. The provisions of the Mannatech Policies and Procedures, as amended from time to time, 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 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. As an Associate, I must submit a valid identification number (or its equivalent) before being issued with a Company Account Number. 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 all sales tax collection agreements between the Company and all appropriate taxing jurisdictions, and all related rules and procedures.
a. I have the right to purchase products and services from the Company at Associate cost.
b. I have the right to offer for sale the Company products and services in accordance with this Agreement.
c. I have the right to estabalish a downline organisation of Associates and/or Members and to register persons in the Company for this purpose. If I do, I will be responsible for training my downline organisation on effective and lawful methods of building a successful business.
I understand that I, the buyer, may CAnCeL this Agreement, without any Penalty or Obligation, at any time prior to midnight of the thIRD BUSIneSS DAy after the date of this transaction. If I cancel, any property traded in, any payments made by me under this Agreement, and any negotiable instrument executed by me will be returned to me within ten BUSIneSS DAyS following receipt by the seller of my cancellation notice, and any security interest arising out of the transaction will be cancelled. If I cancel, I must make available to the seller at my residence, in substantially as good condition as when received, any goods delivered to me under this Agreement, or I may, if I wish, comply with the instructions of the seller regarding the return shipment of the goods at the sellers expense and risk. If I do make the goods available to the seller and the seller does not pick them up within 20 days of the date of my notice of Cancellation, I may retain or dispose of the goods without any further obligation. If I fail to make the goods available to the seller, or if I agree to return the goods to the seller and fail to do so, then I shall remain liable for performance for all obligations under this Agreement. I understand that to cancel this transaction, I am required to mail or deliver a signed and dated copy of the notice of Cancellation or any other written notice, to the address in this contract nOt LAteR thAn MIDnIGht of the third Business Day after the date the Agreement is submitted to the Company. I understand that I must give notice of cancellation by a method that will allow me to prove that I gave notice, including registered mail, fax or by personal delivery. By signing below, I confirm that I have read and understand the statements above and the Companys requirements regarding accuracy of representations regarding its products and Compensation Plan.
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 authorized to and will not incur any debt, expense or obligation or open any checking account on behalf of, for, or in the name of the Company. I agree that 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 THAT I AM AND SHALL BE TREATED AS AN INDEPENDENT CONTRACTOR OF MANNATECH FOR ALL PURPOSES, INCLUDING FOR ANY TAX PURPOSES.
X ________________________________________________________
SIGNATURE OF APPLICANT
X ________________________________________________________
SIGNATURE OF CO-APPLICANT
e. I will use the Retail Sales Invoice (Mannatech Online Document #1805917) provided by the Company, which outlines the date of the sale, the name and address of the merchant, buyers right to cancel statement (part of this Agreement), and address where the buyer can send the cancellation notice for the sale of Company products. I understand that 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 that are 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.
7. I agree to carefully READ and COMPLY with the Associate Policies and Procedures and the Compensation Plan, both of which, together with this Application, constitute the Agreement. I understand that the Policies and Procedures and the 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 that 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 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 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 Company to operate its business, including without limitation, my registration and acceptance of the Compensation Plan or the payment
DATE___________________________________
g. I will use only Company-approved promotional materials when representing the Company, offering the business, Compensation Plan, training other Associates and/or making representations as to the products. I agree to present the Compensation Plan and Company products as set forth in official Company literature. I will make no claims, statements, disclosures, representations or warranties regarding potential income, earnings, products, or services that are not printed in the Companys literature in either selling the products or in meeting with prospective Associates.
attn: south africa operations Mannatech international 600 s. royal Lane, suite 200 coppell, tX 75019 usa 0800 981 117 1801517.0911 page 3 of 3