Sponsor Change Request Form
Sponsor Change Request Form Check one:
❑ Associate
FOR OFFICE USE ONLY
PT#___________________
❑ Member
After the seven (7) business days allowance, Sponsor changes will only be permitted if Mannatech is notified in writing by either the Applicant or Enroller (in case of Associates registering the last week of any business period, the seven (7) business days allowance will be limited to the end of that business period). If the answer to any of the questions below is “Yes,” the Sponsor Change Request will be denied unless the change is requested due to a Mannatech error. 1. Has any commission(s) been paid to the original upline? 2. Was the request received after the hard close? 3. Is the new Sponsor not in the same line of Sponsorship? Note: If the Associate has a downline organization in place, the request must be accompanied by the written consent of all Associates in the upline organization whose income is arguably affected. The decision to approve or deny the request will be based solely on Mannatech’s ability to ensure the integrity of commissions. Requested by: (Please print)
Associate/Member needing the Sponsor change: (Please print)
NAME_____________________________________________________________________ NAME_____________________________________________________________________ ACCOUNT NO._______________________________________________________________
ACCOUNT NO.______________________________________________________________
PHONE NO_________________________________________________________________
PHONE NO._________________________________________________________________
FAX NO.____________________________________________________________________
FAX NO.____________________________________________________________________
ASSOCIATE/MEMBER SIGNATURE:
__________________________________________________________________________
(Required only if the Associate/Member is requesting the change.)
Statement: By signing this form, I agree to the Associate/Member above changing his/her Sponsor from: ACCOUNT NO. ________________________ NAME__________________________________________________________________ to ACCOUNT NO. ________________________ NAME___________________________________________________________________or TAX I.D. NO. _________________________.
Approval Signatures: All required signatures must be provided or the request will be denied. Associates/Members who submit forged signatures to Mannatech are violating state and federal laws and may be subject to immediate termination. Current Enroller:
First Upline Presidential:
_____________________ ___________________________________ __________________________________ (ACCOUNT #)
(PRINT NAME)
(SIGNATURE REQUIRED)
_____________________ ___________________________________ __________________________________
(ACCOUNT #)
(PRINT NAME)
(SIGNATURE REQUIRED only if Enroller is terminated)
Brief explanation for request: (Please do not use more than the space provided below.)
___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ PAYMENT INFORMATION—CREDIT CARD ONLY PLEASE COMPLETE ALL INFORMATION BELOW AND AT RIGHT.
Sponsor Change Fee*
$20.00
State & Local Sales Tax
$__________
Total Amount Due
$__________
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.
X
ACCOUNTHOLDER’S SIGNATURE
DATE
*$20.00 fee will only be charged if outside of guidelines and research necessary.
❏ visa ®
❏ mastercard ®
CREDIT CARD NUMBER
❏ discover ❏ american express ®
®
ACCOUNTHOLDER’S NAME PRINTED
EXPIRATION DATE ACCOUNTHOLDER’S BILLING ADDRESS
Fax the completed form to 972-471-7472, attention: Sponsor Change Coordinator.
©2014 Mannatech, Incorporated
1807201.050614
❑ Associate
FOR OFFICE USE ONLY
PT#___________________
❑ Member
After the seven (7) business days allowance, Sponsor changes will only be permitted if Mannatech is notified in writing by either the Applicant or Enroller (in case of Associates registering the last week of any business period, the seven (7) business days allowance will be limited to the end of that business period). If the answer to any of the questions below is “Yes,” the Sponsor Change Request will be denied unless the change is requested due to a Mannatech error. 1. Has any commission(s) been paid to the original upline? 2. Was the request received after the hard close? 3. Is the new Sponsor not in the same line of Sponsorship? Note: If the Associate has a downline organization in place, the request must be accompanied by the written consent of all Associates in the upline organization whose income is arguably affected. The decision to approve or deny the request will be based solely on Mannatech’s ability to ensure the integrity of commissions. Requested by: (Please print)
Associate/Member needing the Sponsor change: (Please print)
NAME_____________________________________________________________________ NAME_____________________________________________________________________ ACCOUNT NO._______________________________________________________________
ACCOUNT NO.______________________________________________________________
PHONE NO_________________________________________________________________
PHONE NO._________________________________________________________________
FAX NO.____________________________________________________________________
FAX NO.____________________________________________________________________
ASSOCIATE/MEMBER SIGNATURE:
__________________________________________________________________________
(Required only if the Associate/Member is requesting the change.)
Statement: By signing this form, I agree to the Associate/Member above changing his/her Sponsor from: ACCOUNT NO. ________________________ NAME__________________________________________________________________ to ACCOUNT NO. ________________________ NAME___________________________________________________________________or TAX I.D. NO. _________________________.
Approval Signatures: All required signatures must be provided or the request will be denied. Associates/Members who submit forged signatures to Mannatech are violating state and federal laws and may be subject to immediate termination. Current Enroller:
First Upline Presidential:
_____________________ ___________________________________ __________________________________ (ACCOUNT #)
(PRINT NAME)
(SIGNATURE REQUIRED)
_____________________ ___________________________________ __________________________________
(ACCOUNT #)
(PRINT NAME)
(SIGNATURE REQUIRED only if Enroller is terminated)
Brief explanation for request: (Please do not use more than the space provided below.)
___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ PAYMENT INFORMATION—CREDIT CARD ONLY PLEASE COMPLETE ALL INFORMATION BELOW AND AT RIGHT.
Sponsor Change Fee*
$20.00
State & Local Sales Tax
$__________
Total Amount Due
$__________
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.
X
ACCOUNTHOLDER’S SIGNATURE
DATE
*$20.00 fee will only be charged if outside of guidelines and research necessary.
❏ visa ®
❏ mastercard ®
CREDIT CARD NUMBER
❏ discover ❏ american express ®
®
ACCOUNTHOLDER’S NAME PRINTED
EXPIRATION DATE ACCOUNTHOLDER’S BILLING ADDRESS
Fax the completed form to 972-471-7472, attention: Sponsor Change Coordinator.
©2014 Mannatech, Incorporated
1807201.050614
