BUILDER SYSTEMS & APPLICATION Australia

Transcription

1 BUILDER SYSTEMS & APPLICATION Australia HEALTHY AND FIT STARTER SYSTEM (AUD $440/250 PV) 1 Case of SuperMix (32 Sachets) 1 Case of XM+ Energy Mix (32 Sachets) 1 Box of XMburn (30 Caps) 1 Bag of Ripstix Recover Post-Workout (30 Sachets) 1 Zija Trimr Bottle 7 XMam Trial Packs (4 Caps per Pack) 1 Zija International Welcome Kit 8 Weight Management Pocket Guide 8 Empty Sample Boxes AUS STARTER SYSTEM 4 Cases SmartMix* 1 Case SmartMix 1 Shaker Bottle (AUD $452/250 PV) $150 *Also available in SuperMix and XM+ AUS BUILDER SYSTEM 1 8 Cases SmartMix 2 Cases SmartMix 1 Shaker Bottle (AUD $892/500 PV) X2 $250 All product is shipped from the United States and are only for personal use. Please plan on 8 to 12 business days for delivery.

2 AUS ZIJA STARTER SYSTEM (SUPERMIX) 2 Cases SuperMix** 2 Boxes XM+ 1 Box XMam Caps Welcome Kit ($23.75 AUD Value) Shaker Bottle ($8.75 AUD Value) 8 XMam Trial Packs ($74 AUD Value) 8 XMpm Trial Packs ($74 AUD Value) 8 SuperMix Pocket Guides 8 Empty Sample Pack Boxes **Also available in SmartMix (AUD $440/250 PV) $150 AUS ZIJA SPEED BUILDER 1 (SUPERMIX) 4 Cases SuperMix** 4 Boxes XM+ 2 Boxes XMam Caps 2 Boxes Premium Tea Welcome Kit ($$23.75 AUD Value) Shaker Bottle ($8.75 AUD Value) 16 XMam Trial Packs ($148 AUD Value) 16 XMpm Trial Packs ($148 AUD Value) 16 SuperMix Pocket Guides 16 Empty Sample Pack Boxes **Also available in SmartMix (AUD $870/500 PV) X2 $300 AUS SUPERPACK 1 (AUD $275/150 PV) 1 Case SuperMix** 1 Box XM+ 1 Box XMam Caps 2 XMpm Trial Packs 1 Zija Shaker Bottle **Also available in SmartMix in the Smartpack 1 All product is shipped from the United States and are only for personal use. Please plan on 8 to 12 business days for delivery.

3 AUS SUPERPACK 2 1 Case SuperMix** 1 Box XM+ 1 Box XMpm Caps 2 XMam Trial Packs 1 Zija Shaker Bottle (AUD $275/150 PV) **Also available in SmartMix in the Smartpack 2 AUS SUPERPACK 3 1 Case SuperMix** 1 Box SmartMix 1 Box XMpm Caps 2 XMpm Trial Packs 1 Zija Shaker Bottle (AUD $275/150 PV) STIMULANT FREE! **Also available in SmartMix in the Smartpack 3 ZIJA FIT BURN PACK - VANILLA OR CHOCOLATE* (AUD $280/150 PV) 1 Bag XMprotein Vanilla or Chocolate 1 Case XM+ Energy Mix 1 Box XMBurn (30 Count) ZIJA FIT PERFORMANCE PACK - VANILLA OR CHOCOLATE* 1 Bag XMprotein Vanilla or Chocolate 1 Case XM+ Energy Mix 1 Box XMam (30 Count) (AUD $280/150 PV) $145 All product is shipped from the United States and are only for personal use. Please plan on 8 to 12 business days for delivery.

4 ZIJA FIT LITE PACK - VANILLA OR CHOCOLATE* (AUD $280/150 PV) 1 Bag XMprotein Vanilla or Chocolate 1 Case SuperMix 1 Box XMpm (30 Count) ZIJA FIT EXTREME PACK - VANILLA - CHOCOLATE - OR COMBO* 2 Bags XMprotein Vanilla, Chocolate, or Combo 1 Case XM+ Energy Mix 1 Case SuperMix 1 Box XMBurn (30 Count) 1 Box XMpm (30 Count) (AUD $460/250 PV) GENM PERSONAL PACK 1 Creamy Face Cleanser 1 Daily Moisturizer 1 Anti-Aging Night Repair 1 Spa Masque 1 Reydrating Mist Zija Oil (AUD $440/250 PV) 1 Zija Oil 1 Eye Serum 1 GenM Sample Pack 1 GenM Cosmetic Bag *All product is shipped from the United States and are only for personal use. Please plan on 8 to 12 business days for delivery.

5 ENROLLMENT & AUTOSHIP FORM To enroll online: To enroll by phone: or fax this form to: NEW ENROLLEE INFORMATION (required) p Individual/Sole Proprietor p Joint Applicants p Partnership p Corporation LAST NAME FIRST NAME MIDDLE INITIAL DATE OF BIRTH (MM/DD/YY) BUSINESS NAME (IF DIFFERENT FROM APPLICANT S NAME) MAILING ADDRESS CITY STATE POSTCODE SHIPPING ADDRESS (IF DIFFERENT FROM MAILING) CITY STATE POSTCODE PHONE NUMBER OTHER PHONE/FAX ( ) ( ) SPONSOR S NAME (PLEASE PRINT) PHONE ( ) ADDRESS SPONSOR S ID NUMBER 2 PLACEMENT INFORMATION (placement name and ID number optional) Based on the information provided in this section, you will be placed in the first available Left or Right position of the Placement Name and ID Number provided below. If no Placement Name or ID Number is provided in this section, you will be placed in the first available position on the Left or Right side of your Sponsor (listed above). PLACEMENT NAME 3 ENROLLMENT FEE / PAYMENT PLACEMENT ID NUMBER MARK CHOICE (REQUIRED) p LEFT p RIGHT I understand that the $25 AUD Enrollment Fee to become a Zija Distributor is waived with the purchase of any Zija System. I understand a yearly renewal fee of $25 AUD is required to continue as a Distributor. I authorize Zija to charge the $25 AUD annual renewal fee to my credit card as it becomes due. I understand a renewal fee is applicable annually, starting thirty (30) days prior to my enrolllment anniversary date to maintain my Distributor status. 4 PAYMENT OPTIONS p Visa p Mastercard p AMEX p Discover CREDIT CARD NUMBER EXPIRATION DATE NAME AS SHOWN ON CARD SIGNATURE OF CARDHOLDER BILLING ADDRESS CITY STATE POSTCODE 5 ENROLLMENT ORDER KIT/PACK SELECTION: All prices shown include S/H fees. p HEALTHY AND FIT STARTER SYSTEM ($440/250 PV)* p AUS STARTER SYSTEM ($452/250 PV)* p AUS BUILDER SYSTEM 1 ($892/500 PV)* p AUS ZIJA STARTER SYSTEM (SUPERMIX) ($440/250 PV)* p AUS ZIJA STARTER SYSTEM (SMARTMIX) ($440/250 PV)* p AUS ZIJA SPEED BUILDER 1 (SUPERMIX) ($870/250 PV)* p AUS ZIJA SPEED BUILDER 1 (SMARTMIX) ($870/250 PV)* p AUS SUPERPACK 1 SUPERMIX ($275/150 PV)* p AUS SUPERPACK 1 SMARTMIX ($275/150 PV)* p AUS SUPERPACK 2 SUPERMIX ($275/150 PV)* p AUS SUPERPACK 2 SMARTMIX ($275/150 PV)* p AUS SUPERPACK 3 SUPERMIX ($275/150 PV)* Stimulant Free p AUS SUPERPACK 3 SMARTMIX ($275/150 PV)* Stimulant Free p ZIJA FIT BURN PACK - VANILLA OR CHOCOLATE ($280/150 PV)* p ZIJA FIT PERFORMANCE PACK - VANILLA OR CHOCOLATE ($280/150 PV)* p ZIJA FIT LITE PACK - VANILLA OR CHOCOLATE ($280/150 PV)* p ZIJA FIT EXTREME PACK - VANILLA, CHOCOLATE, OR COMBO ($460/250 PV)* p GENM PERSONAL PACK ($440/250 PV)* NOTE: Payments made with American Express, Discover, or Diner s Club cards will be charged in USD at the current rate. Visa and Mastercard are acceptable cards that collect in local currency AUD. OTHER: (Please Specify) QTY QTY CUSTOMER INITIALS TOTAL *All product will be shipped from the United States and are only for personal use. Please plan on 8 to 12 business days for delivery.

6 6 AUTOSHIP ORDER QTY PRODUCT WHOLESALE RETAIL PV QTY PRODUCT WHOLESALE RETAIL PV ZIJA FIT BURN PACK - VANILLA** $280 $ BOX XMAM/XMPM COMBO PACK** $145 $ ZIJA FIT BURN PACK - CHOCOLATE** $280 $ XMBURN TRIAL PACKS** (4 CAPSULES) $84 $ ZIJA FIT PERFORMANCE PACK - VANILLA** $280 $ XMAM TRIAL PACKS** (4 CAPSULES) $84 $ ZIJA FIT PERFORMANCE PACK - CHOCOLATE** $280 $ XMPM TRIAL PACKS** (4 CAPSULES) $84 $ ZIJA FIT LITE PACK - VANILLA** $280 $ XMBURN TRIAL PACKS** (4 CAPSULES) $165 $ ZIJA FIT LITE PACK - CHOCOLATE** $280 $ XMAM TRIAL PACKS** (4 CAPSULES) $165 $ ZIJA FIT EXTREME PACK - VANILLA** $460 $ XMPM TRIAL PACKS** (4 CAPSULES) $165 $ ZIJA FIT EXTREME PACK - CHOCOLATE** $460 $ BOX PREMIUM TEA** (30 COUNT) $55 $85 30 ZIJA FIT EXTREME PACK - VANILLA & CHOCOLATE** $460 $ BOX DAILY TEA** (30 COUNT) $55 $85 30 AUS SUPERPACK 1** $275 $ BOX COMBO TEA** (20 DAILY/10 PREMIUM) $55 $85 30 AUS SMARTPACK 1** $275 $ BAG XMPROTEIN CHOCOLATE SHAKE** $145 $ AUS SUPERPACK 2** $275 $ BAG XMPROTEIN VANILLA SHAKE** $145 $ AUS SMARTPACK 2** $275 $ ANTI-AGING NIGHT REPAIR* $83 $ AUS SUPERPACK 3** STIMULANT FREE $275 $ CREAMY FACIAL CLEANSER* $55 $72 30 AUS SMARTPACK 3** STIMULANT FREE $275 $ DAILY MOISTURIZER* $55 $ CASE OF SMARTMIX* $145 $ EYE SERUM* $55 $ CASE OF SUPERMIX** $145 $ REHYDRATING MIST* $41 $ CASE OF XM+** $145 $ SPA MASQUE* $78 $ CASE OF XM3 4 OZ BOTTLES** $130 $ ZIJA OIL* $55 $ BOX OF XMBURN** (30 COUNT) $84 $ GENM CORE* $193 $ BOX OF XMAM** (30 COUNT) $84 $ GENM SAMPLE PACK* (10 COUNT) $70 $ BOX OF XMPM** (30 COUNT) $84 $ GENM PERSONAL PACK* $440 $ AUTOSHIP AMOUNT TOTAL CUSTOMER INITIALS **Product will be shipped form the United States and are only for personal use. Please plan on 8-12 business days for delivery 7 TERMS AND CONDITIONS By signing below, I understand and have read and agree to abide by the Zija Policies & Procedures/Terms and Conditions, and that this enrollment form is abbreviated and not intended as a substitute for full disclosure of the Zija Policies & Procedures/Terms and Conditions. I understand that a complete disclosure of such documentation is available upon my request. I authorize my enrolling sponsor to process this initial order with the information I have supplied herewith. In addition, I authorize Zija to process my order and to charge my credit card referenced above. Applicant/Authorized Party s Signature and Title Date 2016 Zija International, Inc. All Rights Reserved. (02.16)