singapore application by fax/email info
24/09/15
Page 1 of 6
SG - Associate Application Agreement
SINGAPORE APPLICATION BY FAX/EMAIL INFO HOW TO SEND AN SINGAPORE APPLICATION BY FAX OR EMAIL To ensure efficient processing of your Singapore Associate Application/Agreement, Product and Automatic Order Form, follow these specific guidelines;
1. To ensure the application can be processed immediately, please complete all information on the form including; Associate information, “mail to” and “ship to” addresses, Enroller information, Sponsor information, method of payment (including expiry date and account number of the credit card) and signature of the applicant.
2. It is imperative that BOTH pages of the Application form be signed by the applicant and faxed to Mannatech. For your convenience please find a copy of the Agreement with a place for the signature and date.
Applications will not be processed unless both pages are received signed and completed. Joint accounts (eg. John & Jane Citizen) must be signed by both parties.
FAX APPLICATIONS TO: 800 130 1598 OR EMAIL TO: [email protected] EMAIL: If you choose to provide Mannatech with your e-mail address, you will receive details relating to your business such as: important information relating to specific orders you have placed, upcoming tours, special guest speakers, product information and backorder updates. Mannatech respects your privacy. Your personal information will not be made available to third parties.
SUBSTITUTIONS AND/OR CHANGES CAN BE MADE WITHOUT PRIOR NOTICE
Mannatech Singapore Associate Application/Agreement 1. YOUR DETAILS. Title (e.g. MR, MRS, MS, MISS etc)
Date D D M M Y Y
FOR OFFICE USE ONLY ORDER #:
ACCOUNT#
ORDER #:
4. PACK OPTIONS, ORDERS AND PAYMENT. Mannatech guarantees your satisfaction. If you are not completely satisfied with your products contact the Customer Service team within 90 days for a full refund. See Policies & Procedures for full details.
First name(s)
Yes, I want to order the following optional pack
Surname
Pack description (SELECT ONE)
Code
Price
Champion pack - please also complete & submit the “Champion pack order form”
133516
min. $180 $165
(3)
Champion packs
Date of birth (MANDATORY)
D D M M Y Y Business name (USE ONLY IF YOU HAVE BUSINESS CHEQUE Business name:
ACCOUNT IN SAME NAME)
Corporation
Please note: If Trust, Partnership or Corporation account, relevant MOD (#1806416 or #1086316) must accompany this application
Day telephone
( 65
)
( 65
)
( 65
)
139516 136816
$150
Sport pack
141916
$222.05
Ūth Trio pack
141716
$270.09
Your Body Your Way - Chocolate
139816
$332.40
Your Body Your Way - Vanilla
139716
$332.40
132016
min. $445
135616
min. $750
135516
min. $1500
Champion pack - please also complete & submit the “Champion pack order form”
Mobile telephone FAX
Osolean® Powder Pack (+ Shipping $12.00) Ūth Preferred pack (+ Shipping $12.00)
All Star packs Champion All Star pack - please also complete & submit the “All Star pack order form” MOD# 1013916 Champion Team Builder All Star pack “All Star pack order form” MOD# 1013916
Email REQUIRED (PLEASE PRINT)
To set up an Automatic order please tick the box below and sign the Automatic order authorisation.
Email literature selections: ❏ Receive ALL info ❏ Corporate information ONLY ❏ Receive from my upline ONLY ❏ Receive NO info
If the box is not ticked or the Authorisation is not signed, the order will be counted as a “One Time” order.
Yes, I want an Automatic order!* Please bill and ship my Automatic Order every 28 days, beginning:
IF NO SELECTION IS MADE “RECEIVE ALL INFO” WILL BE ASSUMED.
D D M M Y Y
Order
2. MAILING AND SHIPPING ADDRESS.
Code
One Time Order Price
Product Description
Auto Order Price
QTY
Total
“Mail To” address Street address
Shipping
$12.00
TOTAL Postcode
Country
SINGAPORE “Ship To” address (IF DIFFERENT FROM “MAIL TO”) Street address
*Automatic Order authorisation
By choosing the Automatic order option above, I understand the Automatic order generates on a 28 day cycle, is optional and will continue until the Mannatech Corporate Office receives either my written notification or my verbal notification, by calling 800 130 1597, showing either termination or a change in the order. This order does not become a binding contract until accepted at Coppell, Texas USA on behalf of Mannatech Swiss International GmbH. PLEASE NOTE: If you do not indicate above the date you would like your Automatic order to begin, the order will be processed 28 days from the date the application is processed. For Automatic order changes on an existing order please do not use this form. Automatic orders are paid by Direct Debit or Credit Card ONLY.
X Signature/s of Applicant/s
Postcode
Country
SINGAPORE 3. ENROLLER AND SPONSOR INFORMATION.
By signing below, I choose to purchase and authorise payment for the selected product pack and order indicated above.
Payment method (Please complete and sign)
❏ visa® ❏ mastercard® ❏ amex® Credit card number Cardholder name
ENROLLER details
Day telephone
Account number
Country
First name(s)
Date
Yes, I want to register!
I agree to adhere to the Associate Agreement on the back of this Application which consists of the Terms & Conditions, Policies & Procedures and Career and Compensation Plan to the Associate Policies and Procedures document. I understand I have the right to terminate my Agreement at any time with or without reason. I agree such termination must be in writing.
Country
By signing below I apply to become a Mannatech Associate.
X Signature/s of Applicant/s Date (If application is on behalf of a company, an officer must sign for the company.)
FAX Surname
5. SIGNATURE. Please also complete and sign the Terms and Conditions.
Telephone
First name(s)
)
X Cardholder signature
Email (PLEASE PRINT)
Account number
(
Y Y
Cardholder Billing address
Surname
( ) SPONSOR details
Expiry Date
MM
Must be completed prior to submission to Mannatech.
The Enroller and Sponsor may be the same person, or the Enroller may place the new Associate under another Sponsor in his/her sales organization. Neither the Sponsor nor the Enroller receives any bonus, payment or other benefit from the recruitment of a new Associate.
Date
Fax this completed form to:
800 130 1598
Include payment information with your order.
MAIL
EMAIL
Send this completed form with payment Scan and email this application to: info to: [email protected] MANNATECH AUSTRALIA PTY LTD LOCKED BAG 5000 ST LEONARDS NSW 2065 AUSTRALIA ALL PRICES ARE IN SINGAPORE DOLLARS
Page 3 of 6
Champion Packs ACCOUNT #
Pack Options
Please Select One Of The Following Two Options
OPTION 1: $180 CHAMPION PACK #141016 CODE
PRODUCT NAME
OPTION 2: $445 CHAMPION PACK #132016 UNITS
ASSOCIATE PRICE (SG$)
60 capsules
70.00
QTY
HEALTH AND WELLNESS 12702
AMBROTOSE AO®
83402
AMBROTOSE AO® - 4 PACK
4 x 60 capsules
263.00
35302
AMBROTOSE® COMPLEX
75g powder
137.50
37002
ADVANCED AMBROTOSE® w/Manapol
120 capsules
81.25
33302
ADVANCED AMBROTOSE® w/Manapol
60g powder
125.00
33202
ADVANCED AMBROTOSE® w/Manapol
120g powder
235.00
12002
CATALYST™
36202
GI-PRO BALANCE®
120 caplets
80.00
30 slim sticks
43.25
12302
IMMUNOSTART®
60 tablets
62.00
13502
MANNA•BEARS®
300g bears
35.70
39102
MANNA-C®
34302
NUTRIVERUS™
16616 15102 12802
PHYTOBURST® NUTRITIONAL CHEWS
11202
PHYTOMATRIX®
11102
PLUS™
36302
NU-FLAVOUR PACKETS - VANILLA (10)
60 capsules
60.00
150g powder
98.30
OMEGA-3 WITH VITAMIN D3
60 capsules
54.00
PHYT•ALOE™
60 capsules
60.00
60 chews
55.00
120 caplets
88.00
90 tablets
62.00
10 sachets
9.60
WEIGHT MANAGEMENT 36402
NU-FLAVOUR PACKETS - CHOCOLATE (10)
10 sachets
9.60
22202
OSOLEAN® (TWIN PACK)
2x366g powder
145.00
22002
OSOLEAN® (SINGLE CANISTER)
1x366g powder
88.75
SPORTS PERFORMANCE 60 capsules
77.00
360g powder
67.50
60 capsules
56.25
23002
BOUNCEBACK™
19302
EM•PACT PRE WORKOUT SPORTS DRINK™
12102
SPORT WITH AMBROTOSE®
17102
EMPRIZONE™
142g gel
54.00
42301
ŪtH™ cleanser
112ml
45.00
42001
ŪtH™ MOISTURISER
41ml
70.00
23402
ŪTH™ SKIN REJUVENATION CRÉME
30ml
140.00
68402
ŪTH™ TRAVEL SACHETS (3 BOXES)
3 x 15 sachets
150.00
SKIN CARE
TOTAL VALUE
ANY OVERAGE IS PAYABLE BY YOU. NO COMMISSION IS PAID ON OVERAGE. FREE SHIPPING ON POSTS ALL PRICES IN SINGAPOREAN DOLLARS. SUBSTITUTIONS AND/OR CHANGES CAN BE MADE WITHOUT NOTICE.
SUBTOTAL
Page 4 of 6
All Star Upgrade Packs ACCOUNT #
Pack Options
Please Select One Of The Following Two Options
OPTION 1: $750 CHAMPION ALL STAR PACK (#135616) CODE
PRODUCT NAME
OPTION 2: $1500 CHAMPION TEAM BUILDER ALL STAR PACK (#135516) UNITS
ASSOCIATE PRICE (SG$)
60 capsules
70.00
QTY
HEALTH AND WELLNESS 12702
AMBROTOSE AO®
83402
AMBROTOSE AO® - 4 PACK
4 x 60 capsules
263.00
35302
AMBROTOSE® COMPLEX
75g powder
137.50
37002
ADVANCED AMBROTOSE® w/Manapol
120 capsules
81.25
33302
ADVANCED AMBROTOSE® w/Manapol
60g powder
125.00
33202
ADVANCED AMBROTOSE® w/Manapol
120g powder
235.00
12002
CATALYST™
36202
GI-PRO BALANCE®
120 caplets
80.00
30 slim sticks
43.25
12302
IMMUNOSTART®
60 tablets
62.00
13502
MANNA•BEARS®
300g bears
35.70
39102
MANNA-C®
34302
NUTRIVERUS™
16616 15102 12802
PHYTOBURST® NUTRITIONAL CHEWS
11202
PHYTOMATRIX®
11102
PLUS™
36302
NU-FLAVOUR PACKETS - VANILLA (10)
60 capsules
60.00
150g powder
98.30
OMEGA-3 WITH VITAMIN D3
60 capsules
54.00
PHYT•ALOE™
60 capsules
60.00
60 chews
55.00
120 caplets
88.00
90 tablets
62.00
10 sachets
9.60
WEIGHT MANAGEMENT 36402
NU-FLAVOUR PACKETS - CHOCOLATE (10)
10 sachets
9.60
22202
OSOLEAN® (TWIN PACK)
2x366g powder
145.00
22002
OSOLEAN® (SINGLE CANISTER)
1x366g powder
88.75
SPORTS PERFORMANCE 60 capsules
77.00
360g powder
67.50
60 capsules
56.25
23002
BOUNCEBACK™
19302
EM•PACT PRE WORKOUT SPORTS DRINK™
12102
SPORT WITH AMBROTOSE®
17102
EMPRIZONE™
142g gel
54.00
42301
ŪtH™ cleanser
112ml
45.00
42001
ŪtH™ MOISTURISER
41ml
70.00
23402
ŪTH™ SKIN REJUVENATION CRÉME
30ml
140.00
68402
ŪTH™ TRAVEL SACHETS (3 BOXES)
3 x 15 sachets
150.00
SKIN CARE
TOTAL VALUE
ANY OVERAGE IS PAYABLE BY YOU. NO COMMISSION IS PAID ON OVERAGE. FREE SHIPPING ON POSTS ALL PRICES IN SINGAPOREAN DOLLARS. SUBSTITUTIONS AND/OR CHANGES CAN BE MADE WITHOUT NOTICE.
SUBTOTAL
Page 5 of 6
SG - Associate Application Agreement FOR OFFICE USE ONLY ACCOUNT#
All Applicants must sign both sides of this form. If the Application is sent via fax, both sides of the form must be faxed to: 800 130 1598
ASSOCIATE TERMS AND CONDITIONS 1. Upon acceptance of this application by Mannatech Swiss International GmbH (hereinafter referred to as the “Company”) and the issuance of an account number, I am authorised as an Independent Associate (“Associate”) as of the date of this Associate Application & Agreement. The provisions of the Policies and Procedures, as amended from time to time and Career 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 Career 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. 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 tax collection agreements between the Company and all appropriate taxing jurisdictions, and all related rules and procedures. 3. I understand as an Associate: a. I have the right to purchase products and services from the Company’s affiliated companies, including Mannatech Singapore Pte. Ltd., (collectively referred to as “Mannatech”) at Associate cost. b. I have the right to offer for sale Mannatech, products and services in accordance with this Agreement. c. I have the right to establish a downline sales organisation of Associates and/or Members and to register persons in Mannatech and to make sales to such persons for this purpose. If I do, I will be responsible for training my downline sales organisation on effective and lawful methods of building a successful business. 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 authorised to and will not incur any debt, expense or obligation or open any bank account on behalf of, for, or in the name of the Company. I agree 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 I AM AND SHALL BE TREATED AS AN INDEPENDENT CONTRACTOR OF THE COMPANY FOR ALL PURPOSES, INCLUDING FOR ANY TAX PURPOSES. e. I understand 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 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 . g. I will not make make any false representations, omit material information or engage in any misleading conduct in conducting my Company business. I will use only Mannatech-approved promotional materials when representing Mannatech, offering the business, Career and Compensation Plan, training other Associates and/or making representations as to the products. I agree to present the Career and Compensation Plan and Mannatech products as set forth in official Mannatech literature approved for use in the country of operation in which I am conducting business. I will make no claims, statements, disclosures, representations or warranties regarding products, or services not printed in Mannatech’s literature in either selling the products or in promoting the business opportunity to prospective Associates. h. I will make no claims, statements, disclosures, representations or warranties regarding potential or actual income or earnings associated with the Mannatech business or Career and Compensation Plan. i. All products purchased will be for personal use, sale to or use by an end-consumer, and I will not purchase any products or services solely for the purpose of qualifying for overrides, commissions or bonuses. j. If I fail to annually renew my Agreement, I understand I will lose certain rights under the Career and Compensation Plan until such time I have renewed my position in accordance with the terms of the then-current Career and Compensation Plan.
Page 6 of 6
SG - Associate Application Agreement
4. I may not assign any rights or delegate my duties under this Agreement without the prior written consent of the Company. Any attempt to transfer or assign this Agreement without the express written consent of the Company renders this Agreement voidable at the option of the Company and may result in termination of this Agreement. 5. I will comply with all national, provincial, federal, and municipal laws, ordinances, rules and regulations and will make all reports and remit all withholdings or other deductions as may be required by any national, provincial, federal, or municipal law, ordinance, rule or regulation. 6. The Agreement as defined above constitutes the entire contract between the Company and myself. Any promises, representations, offers or other communications not expressly set forth in this Agreement are of no force or effect. To the extent of any conflict or inconsistency between this Agreement and any other agreement, this Agreement shall supersede and prevail over any term of any other agreement as to the matters addressed herein. To the extent of any conflict or inconsistency between this Associate Application and Agreement and the Policies and Procedures (in their current form or as subsequently modified), the Policies and Procedures shall in all instances supersede and prevail over any term of this Associate Application and Agreement as to the matters addressed herein. 7. I agree to carefully READ and COMPLY with all provisions contained within the Agreement as defined herein. I understand that the Policies and Procedures and the Career and 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 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 affiliated companies, 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 Career and 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 to operate its business, including without limitation, my registration and acceptance of the Career and Compensation Plan or the payment of commissions or bonuses. I agree the entire liability of the Company and its affiliates for any reason whatsoever related to the relationship of the Company and myself, including, but not limited to, any cause of action sounding in contract, tort or equity, shall not exceed and shall be limited to the amount of products I have purchased from the Company under this Agreement or any other agreement that are in resalable condition. 9. This Agreement will be governed by and construed in accordance with the laws of Singapore. By signing below, I apply to be an Associate of the Company and I confirm I have read and understood the statements above and the Company’s requirements regarding accuracy of representations regarding its products, the Policies and Procedures and Career and Compensation Plan. 10. This order does not become a binding contract until accepted at Coppell, Texas USA on behalf of Mannatech Swiss International GmbH.
please print all applicable applicants’ names
X
applicant signature/s
date
co applicant signature/s
date
Page 1 of 6
SG - Associate Application Agreement
SINGAPORE APPLICATION BY FAX/EMAIL INFO HOW TO SEND AN SINGAPORE APPLICATION BY FAX OR EMAIL To ensure efficient processing of your Singapore Associate Application/Agreement, Product and Automatic Order Form, follow these specific guidelines;
1. To ensure the application can be processed immediately, please complete all information on the form including; Associate information, “mail to” and “ship to” addresses, Enroller information, Sponsor information, method of payment (including expiry date and account number of the credit card) and signature of the applicant.
2. It is imperative that BOTH pages of the Application form be signed by the applicant and faxed to Mannatech. For your convenience please find a copy of the Agreement with a place for the signature and date.
Applications will not be processed unless both pages are received signed and completed. Joint accounts (eg. John & Jane Citizen) must be signed by both parties.
FAX APPLICATIONS TO: 800 130 1598 OR EMAIL TO: [email protected] EMAIL: If you choose to provide Mannatech with your e-mail address, you will receive details relating to your business such as: important information relating to specific orders you have placed, upcoming tours, special guest speakers, product information and backorder updates. Mannatech respects your privacy. Your personal information will not be made available to third parties.
SUBSTITUTIONS AND/OR CHANGES CAN BE MADE WITHOUT PRIOR NOTICE
Mannatech Singapore Associate Application/Agreement 1. YOUR DETAILS. Title (e.g. MR, MRS, MS, MISS etc)
Date D D M M Y Y
FOR OFFICE USE ONLY ORDER #:
ACCOUNT#
ORDER #:
4. PACK OPTIONS, ORDERS AND PAYMENT. Mannatech guarantees your satisfaction. If you are not completely satisfied with your products contact the Customer Service team within 90 days for a full refund. See Policies & Procedures for full details.
First name(s)
Yes, I want to order the following optional pack
Surname
Pack description (SELECT ONE)
Code
Price
Champion pack - please also complete & submit the “Champion pack order form”
133516
min. $180 $165
(3)
Champion packs
Date of birth (MANDATORY)
D D M M Y Y Business name (USE ONLY IF YOU HAVE BUSINESS CHEQUE Business name:
ACCOUNT IN SAME NAME)
Corporation
Please note: If Trust, Partnership or Corporation account, relevant MOD (#1806416 or #1086316) must accompany this application
Day telephone
( 65
)
( 65
)
( 65
)
139516 136816
$150
Sport pack
141916
$222.05
Ūth Trio pack
141716
$270.09
Your Body Your Way - Chocolate
139816
$332.40
Your Body Your Way - Vanilla
139716
$332.40
132016
min. $445
135616
min. $750
135516
min. $1500
Champion pack - please also complete & submit the “Champion pack order form”
Mobile telephone FAX
Osolean® Powder Pack (+ Shipping $12.00) Ūth Preferred pack (+ Shipping $12.00)
All Star packs Champion All Star pack - please also complete & submit the “All Star pack order form” MOD# 1013916 Champion Team Builder All Star pack “All Star pack order form” MOD# 1013916
Email REQUIRED (PLEASE PRINT)
To set up an Automatic order please tick the box below and sign the Automatic order authorisation.
Email literature selections: ❏ Receive ALL info ❏ Corporate information ONLY ❏ Receive from my upline ONLY ❏ Receive NO info
If the box is not ticked or the Authorisation is not signed, the order will be counted as a “One Time” order.
Yes, I want an Automatic order!* Please bill and ship my Automatic Order every 28 days, beginning:
IF NO SELECTION IS MADE “RECEIVE ALL INFO” WILL BE ASSUMED.
D D M M Y Y
Order
2. MAILING AND SHIPPING ADDRESS.
Code
One Time Order Price
Product Description
Auto Order Price
QTY
Total
“Mail To” address Street address
Shipping
$12.00
TOTAL Postcode
Country
SINGAPORE “Ship To” address (IF DIFFERENT FROM “MAIL TO”) Street address
*Automatic Order authorisation
By choosing the Automatic order option above, I understand the Automatic order generates on a 28 day cycle, is optional and will continue until the Mannatech Corporate Office receives either my written notification or my verbal notification, by calling 800 130 1597, showing either termination or a change in the order. This order does not become a binding contract until accepted at Coppell, Texas USA on behalf of Mannatech Swiss International GmbH. PLEASE NOTE: If you do not indicate above the date you would like your Automatic order to begin, the order will be processed 28 days from the date the application is processed. For Automatic order changes on an existing order please do not use this form. Automatic orders are paid by Direct Debit or Credit Card ONLY.
X Signature/s of Applicant/s
Postcode
Country
SINGAPORE 3. ENROLLER AND SPONSOR INFORMATION.
By signing below, I choose to purchase and authorise payment for the selected product pack and order indicated above.
Payment method (Please complete and sign)
❏ visa® ❏ mastercard® ❏ amex® Credit card number Cardholder name
ENROLLER details
Day telephone
Account number
Country
First name(s)
Date
Yes, I want to register!
I agree to adhere to the Associate Agreement on the back of this Application which consists of the Terms & Conditions, Policies & Procedures and Career and Compensation Plan to the Associate Policies and Procedures document. I understand I have the right to terminate my Agreement at any time with or without reason. I agree such termination must be in writing.
Country
By signing below I apply to become a Mannatech Associate.
X Signature/s of Applicant/s Date (If application is on behalf of a company, an officer must sign for the company.)
FAX Surname
5. SIGNATURE. Please also complete and sign the Terms and Conditions.
Telephone
First name(s)
)
X Cardholder signature
Email (PLEASE PRINT)
Account number
(
Y Y
Cardholder Billing address
Surname
( ) SPONSOR details
Expiry Date
MM
Must be completed prior to submission to Mannatech.
The Enroller and Sponsor may be the same person, or the Enroller may place the new Associate under another Sponsor in his/her sales organization. Neither the Sponsor nor the Enroller receives any bonus, payment or other benefit from the recruitment of a new Associate.
Date
Fax this completed form to:
800 130 1598
Include payment information with your order.
Send this completed form with payment Scan and email this application to: info to: [email protected] MANNATECH AUSTRALIA PTY LTD LOCKED BAG 5000 ST LEONARDS NSW 2065 AUSTRALIA ALL PRICES ARE IN SINGAPORE DOLLARS
Page 3 of 6
Champion Packs ACCOUNT #
Pack Options
Please Select One Of The Following Two Options
OPTION 1: $180 CHAMPION PACK #141016 CODE
PRODUCT NAME
OPTION 2: $445 CHAMPION PACK #132016 UNITS
ASSOCIATE PRICE (SG$)
60 capsules
70.00
QTY
HEALTH AND WELLNESS 12702
AMBROTOSE AO®
83402
AMBROTOSE AO® - 4 PACK
4 x 60 capsules
263.00
35302
AMBROTOSE® COMPLEX
75g powder
137.50
37002
ADVANCED AMBROTOSE® w/Manapol
120 capsules
81.25
33302
ADVANCED AMBROTOSE® w/Manapol
60g powder
125.00
33202
ADVANCED AMBROTOSE® w/Manapol
120g powder
235.00
12002
CATALYST™
36202
GI-PRO BALANCE®
120 caplets
80.00
30 slim sticks
43.25
12302
IMMUNOSTART®
60 tablets
62.00
13502
MANNA•BEARS®
300g bears
35.70
39102
MANNA-C®
34302
NUTRIVERUS™
16616 15102 12802
PHYTOBURST® NUTRITIONAL CHEWS
11202
PHYTOMATRIX®
11102
PLUS™
36302
NU-FLAVOUR PACKETS - VANILLA (10)
60 capsules
60.00
150g powder
98.30
OMEGA-3 WITH VITAMIN D3
60 capsules
54.00
PHYT•ALOE™
60 capsules
60.00
60 chews
55.00
120 caplets
88.00
90 tablets
62.00
10 sachets
9.60
WEIGHT MANAGEMENT 36402
NU-FLAVOUR PACKETS - CHOCOLATE (10)
10 sachets
9.60
22202
OSOLEAN® (TWIN PACK)
2x366g powder
145.00
22002
OSOLEAN® (SINGLE CANISTER)
1x366g powder
88.75
SPORTS PERFORMANCE 60 capsules
77.00
360g powder
67.50
60 capsules
56.25
23002
BOUNCEBACK™
19302
EM•PACT PRE WORKOUT SPORTS DRINK™
12102
SPORT WITH AMBROTOSE®
17102
EMPRIZONE™
142g gel
54.00
42301
ŪtH™ cleanser
112ml
45.00
42001
ŪtH™ MOISTURISER
41ml
70.00
23402
ŪTH™ SKIN REJUVENATION CRÉME
30ml
140.00
68402
ŪTH™ TRAVEL SACHETS (3 BOXES)
3 x 15 sachets
150.00
SKIN CARE
TOTAL VALUE
ANY OVERAGE IS PAYABLE BY YOU. NO COMMISSION IS PAID ON OVERAGE. FREE SHIPPING ON POSTS ALL PRICES IN SINGAPOREAN DOLLARS. SUBSTITUTIONS AND/OR CHANGES CAN BE MADE WITHOUT NOTICE.
SUBTOTAL
Page 4 of 6
All Star Upgrade Packs ACCOUNT #
Pack Options
Please Select One Of The Following Two Options
OPTION 1: $750 CHAMPION ALL STAR PACK (#135616) CODE
PRODUCT NAME
OPTION 2: $1500 CHAMPION TEAM BUILDER ALL STAR PACK (#135516) UNITS
ASSOCIATE PRICE (SG$)
60 capsules
70.00
QTY
HEALTH AND WELLNESS 12702
AMBROTOSE AO®
83402
AMBROTOSE AO® - 4 PACK
4 x 60 capsules
263.00
35302
AMBROTOSE® COMPLEX
75g powder
137.50
37002
ADVANCED AMBROTOSE® w/Manapol
120 capsules
81.25
33302
ADVANCED AMBROTOSE® w/Manapol
60g powder
125.00
33202
ADVANCED AMBROTOSE® w/Manapol
120g powder
235.00
12002
CATALYST™
36202
GI-PRO BALANCE®
120 caplets
80.00
30 slim sticks
43.25
12302
IMMUNOSTART®
60 tablets
62.00
13502
MANNA•BEARS®
300g bears
35.70
39102
MANNA-C®
34302
NUTRIVERUS™
16616 15102 12802
PHYTOBURST® NUTRITIONAL CHEWS
11202
PHYTOMATRIX®
11102
PLUS™
36302
NU-FLAVOUR PACKETS - VANILLA (10)
60 capsules
60.00
150g powder
98.30
OMEGA-3 WITH VITAMIN D3
60 capsules
54.00
PHYT•ALOE™
60 capsules
60.00
60 chews
55.00
120 caplets
88.00
90 tablets
62.00
10 sachets
9.60
WEIGHT MANAGEMENT 36402
NU-FLAVOUR PACKETS - CHOCOLATE (10)
10 sachets
9.60
22202
OSOLEAN® (TWIN PACK)
2x366g powder
145.00
22002
OSOLEAN® (SINGLE CANISTER)
1x366g powder
88.75
SPORTS PERFORMANCE 60 capsules
77.00
360g powder
67.50
60 capsules
56.25
23002
BOUNCEBACK™
19302
EM•PACT PRE WORKOUT SPORTS DRINK™
12102
SPORT WITH AMBROTOSE®
17102
EMPRIZONE™
142g gel
54.00
42301
ŪtH™ cleanser
112ml
45.00
42001
ŪtH™ MOISTURISER
41ml
70.00
23402
ŪTH™ SKIN REJUVENATION CRÉME
30ml
140.00
68402
ŪTH™ TRAVEL SACHETS (3 BOXES)
3 x 15 sachets
150.00
SKIN CARE
TOTAL VALUE
ANY OVERAGE IS PAYABLE BY YOU. NO COMMISSION IS PAID ON OVERAGE. FREE SHIPPING ON POSTS ALL PRICES IN SINGAPOREAN DOLLARS. SUBSTITUTIONS AND/OR CHANGES CAN BE MADE WITHOUT NOTICE.
SUBTOTAL
Page 5 of 6
SG - Associate Application Agreement FOR OFFICE USE ONLY ACCOUNT#
All Applicants must sign both sides of this form. If the Application is sent via fax, both sides of the form must be faxed to: 800 130 1598
ASSOCIATE TERMS AND CONDITIONS 1. Upon acceptance of this application by Mannatech Swiss International GmbH (hereinafter referred to as the “Company”) and the issuance of an account number, I am authorised as an Independent Associate (“Associate”) as of the date of this Associate Application & Agreement. The provisions of the Policies and Procedures, as amended from time to time and Career 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 Career 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. 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 tax collection agreements between the Company and all appropriate taxing jurisdictions, and all related rules and procedures. 3. I understand as an Associate: a. I have the right to purchase products and services from the Company’s affiliated companies, including Mannatech Singapore Pte. Ltd., (collectively referred to as “Mannatech”) at Associate cost. b. I have the right to offer for sale Mannatech, products and services in accordance with this Agreement. c. I have the right to establish a downline sales organisation of Associates and/or Members and to register persons in Mannatech and to make sales to such persons for this purpose. If I do, I will be responsible for training my downline sales organisation on effective and lawful methods of building a successful business. 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 authorised to and will not incur any debt, expense or obligation or open any bank account on behalf of, for, or in the name of the Company. I agree 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 I AM AND SHALL BE TREATED AS AN INDEPENDENT CONTRACTOR OF THE COMPANY FOR ALL PURPOSES, INCLUDING FOR ANY TAX PURPOSES. e. I understand 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 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 . g. I will not make make any false representations, omit material information or engage in any misleading conduct in conducting my Company business. I will use only Mannatech-approved promotional materials when representing Mannatech, offering the business, Career and Compensation Plan, training other Associates and/or making representations as to the products. I agree to present the Career and Compensation Plan and Mannatech products as set forth in official Mannatech literature approved for use in the country of operation in which I am conducting business. I will make no claims, statements, disclosures, representations or warranties regarding products, or services not printed in Mannatech’s literature in either selling the products or in promoting the business opportunity to prospective Associates. h. I will make no claims, statements, disclosures, representations or warranties regarding potential or actual income or earnings associated with the Mannatech business or Career and Compensation Plan. i. All products purchased will be for personal use, sale to or use by an end-consumer, and I will not purchase any products or services solely for the purpose of qualifying for overrides, commissions or bonuses. j. If I fail to annually renew my Agreement, I understand I will lose certain rights under the Career and Compensation Plan until such time I have renewed my position in accordance with the terms of the then-current Career and Compensation Plan.
Page 6 of 6
SG - Associate Application Agreement
4. I may not assign any rights or delegate my duties under this Agreement without the prior written consent of the Company. Any attempt to transfer or assign this Agreement without the express written consent of the Company renders this Agreement voidable at the option of the Company and may result in termination of this Agreement. 5. I will comply with all national, provincial, federal, and municipal laws, ordinances, rules and regulations and will make all reports and remit all withholdings or other deductions as may be required by any national, provincial, federal, or municipal law, ordinance, rule or regulation. 6. The Agreement as defined above constitutes the entire contract between the Company and myself. Any promises, representations, offers or other communications not expressly set forth in this Agreement are of no force or effect. To the extent of any conflict or inconsistency between this Agreement and any other agreement, this Agreement shall supersede and prevail over any term of any other agreement as to the matters addressed herein. To the extent of any conflict or inconsistency between this Associate Application and Agreement and the Policies and Procedures (in their current form or as subsequently modified), the Policies and Procedures shall in all instances supersede and prevail over any term of this Associate Application and Agreement as to the matters addressed herein. 7. I agree to carefully READ and COMPLY with all provisions contained within the Agreement as defined herein. I understand that the Policies and Procedures and the Career and 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 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 affiliated companies, 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 Career and 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 to operate its business, including without limitation, my registration and acceptance of the Career and Compensation Plan or the payment of commissions or bonuses. I agree the entire liability of the Company and its affiliates for any reason whatsoever related to the relationship of the Company and myself, including, but not limited to, any cause of action sounding in contract, tort or equity, shall not exceed and shall be limited to the amount of products I have purchased from the Company under this Agreement or any other agreement that are in resalable condition. 9. This Agreement will be governed by and construed in accordance with the laws of Singapore. By signing below, I apply to be an Associate of the Company and I confirm I have read and understood the statements above and the Company’s requirements regarding accuracy of representations regarding its products, the Policies and Procedures and Career and Compensation Plan. 10. This order does not become a binding contract until accepted at Coppell, Texas USA on behalf of Mannatech Swiss International GmbH.
please print all applicable applicants’ names
X
applicant signature/s
date
co applicant signature/s
date
