Thirty-One Gifts LLC 3425 Morse Crossing • Columbus, Ohio 43219 Phone: 614.414.GIFT (4438) • Fax: 614.337.1459 • thirtyonegifts.com
INDEPENDENT SALES CONSULTANT APPLICATION AND AGREEMENT
APPLICANT INFORMATION Name (First, Middle, Last):
Birthday:
Social Security Number:
Email Address:
Telephone:
Cell:
Mailing Address: City:
State:
Zip Code (+4):
SPONSOR INFORMATION Name:
Consultant I.D. No:
Email Address:
Telephone:
Enrollment Kit
Payment Information
Each Applicant must purchase a Thirty-One Gifts Enrollment Kit (optional in North Dakota). The Kit contains necessary tools and documents to help you get your Thirty-One business launched.
A. Enrollment Kit B. Shipping & Handling*
$99.00 8% + $4.00
Money Order Enclosed (make payable to Thirty-One Gifts LLC) MasterCard Visa American Express Discover Card No. _________________________________________________ Expiration Date (MM/YYYY) ______________
C. Subtotal (A + B)
= $____________
D. Sales Tax (____% x C)**
+ $____________
Name on Card ____________________________________________
E. Total Due (C + D)
= $____________
Authorized Signature _______________________________________ Date ______________________
* Higher shipping rates apply for shipments outside the continental United States **Delivery charges are taxable in all states except AK, AZ, DE, IA, ID, MA, MT, NH, OK, OR, UT, and WY. Delivery charges are also not taxable in U.S. territories, such as Guam and Puerto Rico.
By signing above, I authorize Thirty-One Gifts LLC to charge my credit card for all orders, website subscriptions and payments indicated on this Application and Agreement. Billing address for credit card must match the Applicant’s address listed above.
You, the buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction (five days for Alaska residents). See the reverse side of this form for an explanation of this right. I have carefully read the Terms and Conditions on the back of this Independent Sales Consultant Application and Agreement, the Thirty-One Gifts Career Path and the Thirty-One Gifts Consultant Guidebook (we refer to all of these documents together as the “Agreement”), and agree to abide by all terms set forth in the Agreement. I understand that I have the right to terminate my Thirty-One Gifts independent business at any time, with or without reason, by sending written notice to Thirty-One Gifts at the address listed above. ________________________________________ Applicant's Signature
__________ Date
By signing above, I certify that I have not been a Thirty-One Gifts Consultant within the past six months. I understand that any intentional misrepresentation of any information I provide on this Agreement may result in action by Thirty-One Gifts, up to and including termination of this Agreement. Mail the completed signed original Agreement to: Thirty-One Gifts LLC, CAGS Dept., 3425 Morse Crossing, Columbus, OH 43219 or Fax to 614.337.1459. If you fax the Agreement, please remember to fax both the front and back sides. ONE COPY to Thirty-One Gifts
TWO COPIES to be kept by Applicant