Applicant Information Contact Person â¡â¢ Sponsor Information and ...
JAPAN ASSOCIATE APPLICATION FORM INSTRUCTIONS Please be sure to fill in all of the entry fields. We cannot accept applications from students, or people below age 20. We also cannot accept applications with blank entry fields, or omitted check boxes. All information other than the Sponsor and Enroller information MUST be filled out by the applicant.
①
Applicant Information This is mailing address. 18 01
✓
トウキョウト ミナトク
21
どちらかに 印を付けてください。
トウシツ エイコ
糖質 栄子 81 02 09
トウサ
東京都 港区
1 0 8 0 0 7 5
エイサク
コウナン
港南 2-4-13 03 5780 8050
03 5780 8011
090 1122 3344
糖鎖 栄作
mj so f t b a n k . j p
For Corporate registration, please submit a "Corporate Information Registration Form", (MOD #1806403). A copy of the Corporate Registration must also be submitted. If you wish to have a Business partner, please fill out this area. Partner can share the same Account Number with Applicant and do business activities together. Anyone, even a member of your family, can be your partner.
②③ Sponsor Information and Enroller Information
The Sponsor and Enroller information are very important for the Career and Compensation Plan. Please make sure that you fully understand the concept before you enter the information. If there is an error in the information, then either the Sponsor or the Enroller will be entered in both spots. The Sponsor and the Enroller cannot earn commission just by introducing the applicant to Mannatech.
✓
✓
1 9 7 4 0 8 1
1 9 8 1 0 6 2
オメガ サブロウ
オウソ リンコ
尾目賀 三郎 An Associate in a position directly above the applicant.
④ Contact Person
王蘇 凛子 The Associate that proactively introduced the applicant to Mannatech. *Must be in the same sponsorship line, but can't be below the Sponsor.
(if there are any problems with the application, we may contact this person)
アンブロ トシオ
案風呂 敏夫 080 1111 2222 1
⑤ Registration Pack ✓
select the destination.
✓
67,900
選べるセット
✓
Select the type of registration pack. You can refer to “Product and Pack List ”
Please select payment method.
Cash No shipping fee
This option is only for those registering at the Shinagawa Storefront office
Credit Card Wire Transfer
氏名
登録申請番号 または
アカウント番号
オールスター・パック【選べる】セット 注文用紙
オールスター・パック【選べる】セットはアソシエート価格 66,857 円〜 76,885 円の範囲内で、お好きな製品を組み合わせ ていただけます。さらに、最大 20,000 円までの製品が無料でお選びいただける大変お得な製品パックです。 〈注意〉● 66,857 円〜 76,885 円の範囲内で、ご希望の製品を選択し、組み合わせることができます。 選択した製品の合計金額がオールスター・パック【選べる】セットの金額となります。
●セット製品（オーソリーン バリュー セット、アンブロトース AO ファミリーセット、マナテックリフト A または B セット）、 ビジネス・ツールは対象外
＜オールスター・パック＞
コード（製品番号） 製品名 数量 金額合計
¥ ¥ ¥ ¥ ¥
please make sure to fill in the Credit Card information below
*If you select "Normal Transfer", it takes 3-4 days to confirm. Shipment will be after confirmation, so when you are in a hurry, please select "Wire Transfer".
Bank Transfer:
Postal Savings Transfer:
Mitsubishi Tokyo UFJ Bank Shin-Maru-no -uchi shiten Regular Savings Account 4242328 Mannatech Japan.G.K
Minato Kounan Yubinkyoku 00120-1-536866 Mannatech Japan.G.K
¥ ¥ ¥ ¥ ¥ 金額合計 （支払額）
¥
＜プレゼント特典（無料）＞ アソシエート価格 20,000 円以内でお好きな製品をお選びいただけます。
コード（製品番号） 製品名 数量 金額合計
¥ ¥ ¥ ¥ 金額合計 （プレゼント額） ※控えが必要な方はコピーをとりご自分で保管いただけますようお願い致します。 ALLSTAR CUSTOM PACK ORDER FORM
¥ 配送手数料は無料です。 SKU1701103.0414
If you choose【AllStar Pack】, please fill in the【AllStar Pack】Order Form and enclose it with Associate Application Form. ※ Please make a copy, if you need.
⑥ Shipping Address
If different from mailing address
✓ If a Shipping time is not entered, Mannatech will choose it.
⑦
Credit Card Information only for those paying by credit Mannatech has the right to hold products until payment is confirmed. If no credit card info is entered, we will hold the order for 10 business days. Mannatech is registered with credit card companies as a foreign capital firm.Please beaware that charges appearing on Japanese credit cards will be treated as a single charge.
2
✓ 1234 5678 9123 4567 04 17 トウシツ エイコ
糖質 栄子 Eiko Toshitsu
⑧
✓
Bonus Deposit Infomation The name in the "Bonus Deposit Information" area MUST be the same as the name in the "Applicant Information" area. Please select either a Bank or Postal Saving Account.
✓
ジーエフアール
✓
GFR
コウナン
港南
✓
本店・営業部
125 1003125 トウシツ エイコ
糖質 栄子
※本人名義に限らせていただいております（法人登録の場合は社名）
（通常貯金のみ） 記 号 番 号
11960 1234561 おなまえ
お届 け印
トウシツ エイコ 様
おところ （郵便番号 108-0075）
東京都港区港南 2-4-13
New Ordinary Savings is not able to be selected.
Please fill in a blank of the name used in the bankbook. ※ Please see the first page of your bankbook. 通帳とお届け印とは、別々に保管してください。
⑨
Applicant Signature
The applicant MUST sign the application form. For Corporate Registration, the signature and seal of the Company Name, or the representative are necessary.
糖質栄子
糖 質
Register by Postal Mail
After your payment is confirmed, your “Registration Pack” and “Associate registration Kit” will be shipped within 2-3days.
Account Number will be provided The applicant will be assigned an Account Number after the application has been received. Until the applicant receives notification of their Account Number, please use the Registration Number for ordering or inquiries.
送付先
納品書 シップメント番号 オーダー番号 PV ビジネス・ピリオド 使用可能なマナポ残高 配達業者 出荷日
注文者 アカウント番号
発送元
*Until your Account Number arrives, please use this number. This number is different for every application, and no one else can use it, so please make a copy of this form. Your Registration No. is here
○○○○○○○
○○○○
次回の設定日 （オート・オーダー） ※ ※祭日、年末年始はスケジュールが 変更される場合がございますので、 予めご了承下さい。
Your Account Number is 商品番号 商品名 出荷数 一時在庫切れ 注文数 printed here.
金額
Your contracted date is here.
Keep your Registration Kit Your contracted date will be printed on the invoice of the registration pack. Please keep it with Registration kit.
Complete! 3
What is an Auto Order? An Auto Order is a system where once every 4 weeks, the same products will be automatically shipped out, and you can recieve 20% of the total amount purchased to accure as points. ※ Auto Order is not a required item for registration
⑩
For only if applying Auto Order at the same time of registration Please fill out Product for Auto Order, Order Method, Shipping Week, Starting Business Period
33203
アドバンス アンブロトース パウダー EX (120g)
1
16,457
112
16,457
648 432
17,105
✓
07
✓
Credit Card
Week 1 Week 2 Week 3 Week 4
Based on Mannatech BP's, there will be 13 shipments, requiring 13 payments per year, or once every 4 weeks. There will be one month where payment is required twice.
Cash On Delivery
Week 1 Week 2
For COD orders we limit the total amount to 70,000 yen. When the product arrives, please pay the TOTAL amount to the delivery driver.
Postal Savings Automatic Debit
Week 1 Week 2
Please submit the 1st and 2nd pages of the [Post Office Savings Automatic payment Application] ※ It will take 3-4 weeks to process your application. please pay by COD until PAD starts.
What is Business Period(BP)?
Mannatech operates business by its own original calendar, which counts 4 weeks (28 days) as 1 business period . You can see Business Period calaneder on “Product and Pack List” and check the date of each BP. Then write the number of the BP you wish to start your Auto Order.
Product shipping week.
Please select the week you wish the products to ship. Some weeks may not be able to be selected due to your payment method.
• If there is no number written in the Business Period (BP)Start box, then the first shipment will be sent after payment has been confirmed (for COD orders, after the Auto Order is entered). After that, the products will ship each BP, every 28 days after the last order. • Auto Order may not be temporarily cancelled. • For Automatic Order cancellation and modification, please submit your request at least 7 business days BEFORE your next Automatic Order is scheduled to ship. (MOD1812703 Auto Order cancel & Modification Form) • Your next Auto order shipment date is written on the upper right of your invoice. • If your auto order is set on either Thursday or Friday of the fourth week of each month, your shipping will be on Wednesday. マナテックジャパン合同会社 〒 108-0075 東京都港区港南 2 - 4 -13 スターゼン品川ビル
4
Better Solutions to Global Health © 2014 Mannatech, Incorporated. All rights reserved. 日本国内用資料 www.mannatech.com SKU1701103.0414
①
Applicant Information This is mailing address. 18 01
✓
トウキョウト ミナトク
21
どちらかに 印を付けてください。
トウシツ エイコ
糖質 栄子 81 02 09
トウサ
東京都 港区
1 0 8 0 0 7 5
エイサク
コウナン
港南 2-4-13 03 5780 8050
03 5780 8011
090 1122 3344
糖鎖 栄作
mj so f t b a n k . j p
For Corporate registration, please submit a "Corporate Information Registration Form", (MOD #1806403). A copy of the Corporate Registration must also be submitted. If you wish to have a Business partner, please fill out this area. Partner can share the same Account Number with Applicant and do business activities together. Anyone, even a member of your family, can be your partner.
②③ Sponsor Information and Enroller Information
The Sponsor and Enroller information are very important for the Career and Compensation Plan. Please make sure that you fully understand the concept before you enter the information. If there is an error in the information, then either the Sponsor or the Enroller will be entered in both spots. The Sponsor and the Enroller cannot earn commission just by introducing the applicant to Mannatech.
✓
✓
1 9 7 4 0 8 1
1 9 8 1 0 6 2
オメガ サブロウ
オウソ リンコ
尾目賀 三郎 An Associate in a position directly above the applicant.
④ Contact Person
王蘇 凛子 The Associate that proactively introduced the applicant to Mannatech. *Must be in the same sponsorship line, but can't be below the Sponsor.
(if there are any problems with the application, we may contact this person)
アンブロ トシオ
案風呂 敏夫 080 1111 2222 1
⑤ Registration Pack ✓
select the destination.
✓
67,900
選べるセット
✓
Select the type of registration pack. You can refer to “Product and Pack List ”
Please select payment method.
Cash No shipping fee
This option is only for those registering at the Shinagawa Storefront office
Credit Card Wire Transfer
氏名
登録申請番号 または
アカウント番号
オールスター・パック【選べる】セット 注文用紙
オールスター・パック【選べる】セットはアソシエート価格 66,857 円〜 76,885 円の範囲内で、お好きな製品を組み合わせ ていただけます。さらに、最大 20,000 円までの製品が無料でお選びいただける大変お得な製品パックです。 〈注意〉● 66,857 円〜 76,885 円の範囲内で、ご希望の製品を選択し、組み合わせることができます。 選択した製品の合計金額がオールスター・パック【選べる】セットの金額となります。
●セット製品（オーソリーン バリュー セット、アンブロトース AO ファミリーセット、マナテックリフト A または B セット）、 ビジネス・ツールは対象外
＜オールスター・パック＞
コード（製品番号） 製品名 数量 金額合計
¥ ¥ ¥ ¥ ¥
please make sure to fill in the Credit Card information below
*If you select "Normal Transfer", it takes 3-4 days to confirm. Shipment will be after confirmation, so when you are in a hurry, please select "Wire Transfer".
Bank Transfer:
Postal Savings Transfer:
Mitsubishi Tokyo UFJ Bank Shin-Maru-no -uchi shiten Regular Savings Account 4242328 Mannatech Japan.G.K
Minato Kounan Yubinkyoku 00120-1-536866 Mannatech Japan.G.K
¥ ¥ ¥ ¥ ¥ 金額合計 （支払額）
¥
＜プレゼント特典（無料）＞ アソシエート価格 20,000 円以内でお好きな製品をお選びいただけます。
コード（製品番号） 製品名 数量 金額合計
¥ ¥ ¥ ¥ 金額合計 （プレゼント額） ※控えが必要な方はコピーをとりご自分で保管いただけますようお願い致します。 ALLSTAR CUSTOM PACK ORDER FORM
¥ 配送手数料は無料です。 SKU1701103.0414
If you choose【AllStar Pack】, please fill in the【AllStar Pack】Order Form and enclose it with Associate Application Form. ※ Please make a copy, if you need.
⑥ Shipping Address
If different from mailing address
✓ If a Shipping time is not entered, Mannatech will choose it.
⑦
Credit Card Information only for those paying by credit Mannatech has the right to hold products until payment is confirmed. If no credit card info is entered, we will hold the order for 10 business days. Mannatech is registered with credit card companies as a foreign capital firm.Please beaware that charges appearing on Japanese credit cards will be treated as a single charge.
2
✓ 1234 5678 9123 4567 04 17 トウシツ エイコ
糖質 栄子 Eiko Toshitsu
⑧
✓
Bonus Deposit Infomation The name in the "Bonus Deposit Information" area MUST be the same as the name in the "Applicant Information" area. Please select either a Bank or Postal Saving Account.
✓
ジーエフアール
✓
GFR
コウナン
港南
✓
本店・営業部
125 1003125 トウシツ エイコ
糖質 栄子
※本人名義に限らせていただいております（法人登録の場合は社名）
（通常貯金のみ） 記 号 番 号
11960 1234561 おなまえ
お届 け印
トウシツ エイコ 様
おところ （郵便番号 108-0075）
東京都港区港南 2-4-13
New Ordinary Savings is not able to be selected.
Please fill in a blank of the name used in the bankbook. ※ Please see the first page of your bankbook. 通帳とお届け印とは、別々に保管してください。
⑨
Applicant Signature
The applicant MUST sign the application form. For Corporate Registration, the signature and seal of the Company Name, or the representative are necessary.
糖質栄子
糖 質
Register by Postal Mail
After your payment is confirmed, your “Registration Pack” and “Associate registration Kit” will be shipped within 2-3days.
Account Number will be provided The applicant will be assigned an Account Number after the application has been received. Until the applicant receives notification of their Account Number, please use the Registration Number for ordering or inquiries.
送付先
納品書 シップメント番号 オーダー番号 PV ビジネス・ピリオド 使用可能なマナポ残高 配達業者 出荷日
注文者 アカウント番号
発送元
*Until your Account Number arrives, please use this number. This number is different for every application, and no one else can use it, so please make a copy of this form. Your Registration No. is here
○○○○○○○
○○○○
次回の設定日 （オート・オーダー） ※ ※祭日、年末年始はスケジュールが 変更される場合がございますので、 予めご了承下さい。
Your Account Number is 商品番号 商品名 出荷数 一時在庫切れ 注文数 printed here.
金額
Your contracted date is here.
Keep your Registration Kit Your contracted date will be printed on the invoice of the registration pack. Please keep it with Registration kit.
Complete! 3
What is an Auto Order? An Auto Order is a system where once every 4 weeks, the same products will be automatically shipped out, and you can recieve 20% of the total amount purchased to accure as points. ※ Auto Order is not a required item for registration
⑩
For only if applying Auto Order at the same time of registration Please fill out Product for Auto Order, Order Method, Shipping Week, Starting Business Period
33203
アドバンス アンブロトース パウダー EX (120g)
1
16,457
112
16,457
648 432
17,105
✓
07
✓
Credit Card
Week 1 Week 2 Week 3 Week 4
Based on Mannatech BP's, there will be 13 shipments, requiring 13 payments per year, or once every 4 weeks. There will be one month where payment is required twice.
Cash On Delivery
Week 1 Week 2
For COD orders we limit the total amount to 70,000 yen. When the product arrives, please pay the TOTAL amount to the delivery driver.
Postal Savings Automatic Debit
Week 1 Week 2
Please submit the 1st and 2nd pages of the [Post Office Savings Automatic payment Application] ※ It will take 3-4 weeks to process your application. please pay by COD until PAD starts.
What is Business Period(BP)?
Mannatech operates business by its own original calendar, which counts 4 weeks (28 days) as 1 business period . You can see Business Period calaneder on “Product and Pack List” and check the date of each BP. Then write the number of the BP you wish to start your Auto Order.
Product shipping week.
Please select the week you wish the products to ship. Some weeks may not be able to be selected due to your payment method.
• If there is no number written in the Business Period (BP)Start box, then the first shipment will be sent after payment has been confirmed (for COD orders, after the Auto Order is entered). After that, the products will ship each BP, every 28 days after the last order. • Auto Order may not be temporarily cancelled. • For Automatic Order cancellation and modification, please submit your request at least 7 business days BEFORE your next Automatic Order is scheduled to ship. (MOD1812703 Auto Order cancel & Modification Form) • Your next Auto order shipment date is written on the upper right of your invoice. • If your auto order is set on either Thursday or Friday of the fourth week of each month, your shipping will be on Wednesday. マナテックジャパン合同会社 〒 108-0075 東京都港区港南 2 - 4 -13 スターゼン品川ビル
4
Better Solutions to Global Health © 2014 Mannatech, Incorporated. All rights reserved. 日本国内用資料 www.mannatech.com SKU1701103.0414
