conference registration form - reliv

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october 12 – 13, 2018

DOUBLETREE ORLANDO UNIVERSAL STUDIOS 5780 Major Blvd. Orlando, FL 32819 407.351.1000 Room rate*: $139 single/ double occupancy Complimentary WiFi

*Please Note: There is a 30-day cancellation policy. If you cancel 30 days or less from the event date, you will be charged one night’s room & tax.

Register for our new Reliv Live events! We’re putting major events on both sides of the country to deliver focused, hands-on, ready-to-use information for Distributors looking to build BIG!

RELIV LIVE AGENDA Friday: 7:00 p.m. – 9:00 p.m. > Kick-Off Saturday: 9:00 a.m. – 4:30 p.m. > Reliv Products, Business and Plan for Action You’ll get all the business-boosting power and fun of a Reliv Conference in a more convenient, more affordable and more interactive package — and you’ll be able to bring a bigger group with you! But don’t wait to sign up. Tickets are limited and we expect to sell out both events.

Limited availability – book now! reliv.com/reliv-live

RELIV LIVE REGISTRATION To register: call, fax, or mail this form to Reliv. For every Reliv Live registration purchase, Reliv will donate $5 to the Reliv Kalogris Foundation. Name:___________________________________________________________ RCN:������������� Street Address (No P.O. Boxes): ������������������������������������������������������������� City, State, Postal Code: ����������������������������������������������������������������� Telephone Number (Area Code): ������������������������������������������������������������

Orlando – October 12-13 Price per individual: $85 X _______ Individuals = ________ ($100 after July 1, 2018) Become a new Distributor after July 1 and you will receive the $85 registration fee. >> Saturday lunch included Names of each attending: ���������������������������������������������������������������� ������������������������������������������������������������������������������� TOTAL ENCLOSED = Method of Payment: Credit Card:

Money Order

MasterCard

Visa

Check Discover

AMEX

Card Number: ____________________________________________________ Exp. Date:����������� Name that appears on card: �������������������������������������������������������������� Billing address same as mailing address. Cardholder’s Billing Address: �������������������������������������������������������������� �������������������������������������������������������������������������������

Sorry. No Refunds and non-transferable. This is a business expense. You may want to make a copy of your completed form and keep it on file for your tax records.

US 4/18