SAMPLE DISTRIBUTOR APPLICATION 19 REGISTRATION CARD is an authorized independent Distributor with 2 3 4 APPLICATION FOR INTERNATIONAL DISTRIBUTORSHIP DEMANDE DE STATUT DE DISTRIBUTEUR INTERNATIONAL SOCIAL INSURANCE NO N O D ASSURANCE SOCIALE LAST NAME/NOM DE FAMILLE FIRST NAME/PRÉNOM MIDDLE INITIAL/INITIALE CITY/VILLE PROVINCE POSTAL CODE/CODE POSTAL AREA CODE TELEPHONE NUMBER DATE OF BIRTH IF UNDER 18 INDICATIF RÉGIONALNUMÉRO DE TÉLÉPHONE YEAR/ANNÉE MONTH/MOIS DAY/JOUR 5 6 7 Country of permanent legal residence if other than Canada DATE DE NAISSANCE SI ÂGÉ (E) DE MOINS DE 18 ANS Pays du domicile permanent officiel si autre que le Canada SPONSOR S NAME/NOM DU PARRAIN CITY/VILLE PROV P.C./C.P. SPONSOR S I.D.#/IDENTITÉ DU PARRAIN 8 9 SPONSOR S TEL. NO./N O TÉLÉPHONE DU PARRAIN SUPERVISOR S NAME/NOM DU SUPERVISEUR 120, 4550-25th Street S.E. T2B 3P1 CITY/VILLE PROV P.C./C.P. SUPERVISOR S I.D.#/IDENTITÉ DU PARRAIN SUPERVISOR S TEL. NO./N O TÉLÉPHONE DU PARRAIN of Canada Ltd. 1 Name applicant and your upline sponsors between you and your first upline supervisor. Nom du candidat (de la candidate) et de tous ses parrains dans l ordre hiérarchique à partir du candidat (de la candidate) jusqu au premier superviseur. APPLICANT CANDIDAT (E) 1st SPONSOR 1er PARRAIN 2nd SPONSOR 2ième PARRAIN 3rd SPONSOR 3ième PARRAIN 1st SUPERVISOR 1er SUPERVISEUR RECORDS/DOSSIERS OFFICE USE ONLY/RÉSERVÉ AU BUREAU IDENTIFICATION NUMBER NUMÉRO D IDENTIFICATION 04 SAMPLE The number above becomes your permanent Herbalife I.D. number. Le numéro ci-dessus sera votre numéro d identité pour Herbalife. 10 11 12 13 14 ID No: SAMPLE Application Date / / Mo / Day / Year Please Note: Due to space limitation, the terms and conditions of agreement are not reflected on this sample. 15 Manitoba & Saskatchewan Distributors see Reverse side Distributeurs du Manitoba et de la Saskatchewan voir le verso DATED AT/ daté à, ON/LE 20 CITY/VILLE PROVINCE COUNTRY/PAYS 16 17 18 APPLICANT S SIGNATURE/SIGNATURE DU OU DE LA CANDIDATE (E) SPOUSE SIGNATURE/SIGNATURE DU OU DE LA CONJOINT(E) SPOUSE S SIN/NAS DU OU DE LA CONJOINT(E) APPLICATION ACCEPTED FOR HERBALIFE OF LTD. DEMANDE ACCEPTÉE POUR HERBALIFE DU LTÉE PAR Instructions For Completing Your Distributor Application... It s Simple! (See Corresponding Numbers In Black Boxes On The Sample Application above) 1. This is where your Herbalife Distributor Identification Number (ID) is located. Please keep the Registration Card that accompanies your Distributor application with you at all times. You may also use this number to place orders until your Distributor Application is processed. 2. Your Canadian Social Insurance Number. 3. Your last name, first name and middle initial (this will be the name of your Distributorship, which must be in the name of an individual). 4. Your address. All correspondence and future earnings will be mailed to this address. 5. Your main telephone number. 6. Your date of birth (if under 18). 7. Your country of permanent residence (if other than Canada). 8. Your Sponsor s name, address, telephone number and Herbalife ID number. This information is crucial to properly establish your Distributorship. 9. Your first upline Fully Qualified Supervisor s name, address, telephone number and Herbalife ID number. This information is crucial to properly establish your Distributorship. If your Sponsor is your first upline Fully Qualified Supervisor, repeat the information in box 8, here. 10. Your name and Herbalife ID number. 11. Your Sponsor s name and Herbalife ID number. 12. Your 2nd Sponsor s name and Herbalife ID number (this will be your Sponsor s Sponsor). 13. Your 3rd Sponsor s name and Herbalife ID number. 6 14. Your first upline Fully Qualified Supervisor s name and Herbalife ID number (this may be the same as your Sponsor if he/she is a Fully Qualified Supervisor). 15. The city, province, country and date at which and on which you are signing this Distributor Application. 16. Your signature (required). 17. Your Spouse s signature (required if you would like it to appear in our system as a part of your Distributorship). 18. Your Spouse s Canadian Social Insurance Number (if applicable). 19. This is the Registration Card that accompanies your Distributor Application. Please keep this card with you at all times, as once your application is processed, this will become your Herbalife ID number.
PAID Accepted Methods Of Payment PAID All Orders must be paid in full, processed and accepted for us to release the order. The following methods of payment are acceptable: Cash Debit Card - Canadian Dollars only. Cash and Debit Card may be used for walk-in orders only. Credit Cards - American Express, Visa and MasterCard. The credit card must be in the name of the purchaser. Credit cards may be used for all order types. Automatic Payment System (APS) - If you have been a Fully Qualified Supervisor for at least 30 days; approved applications (available through the Sales Order Call Centre or Distributor Relations Department) must be on file at headquarters, and you must have a 4 digit Personal Identification Number (PIN). This system automatically deducts the amount of your order from a designated Canadian bank account. APS may be used for all order types with the exception of HAP orders. Guaranteed Cheques - Certified Cheques, Travelers Cheques and Money Orders, which must be made out to Herbalife of Canada Ltd., and in Canadian Dollars only. Guaranteed cheques may be used for mail and walk-in orders only. Personal Cheques - You must be a Fully Qualified Supervisor for 30 days or more to be eligible to use personal cheques (cheques must be drawn on a Canadian Bank). Supervisors may use personal cheques only for their own orders or orders for their downline Distributors. All personal cheques must be preprinted with the Fully Qualified Supervisor s name. Postdated and third-party cheques will not be accepted. The daily cheque writing limit is $4,500 Canadian Dollars. You must also note your Herbalife ID Number and order number (if available) on your cheque. Cheques may be used for mail and walk-in orders only. Wire Transfers - Your order may be paid by wire transfer to Herbalife s bank account (shown above right); it must be a bank-to-bank transaction. Please note that products will not be shipped/released until your wire transfer has been received, confirmed and processed by Herbalife. You must reference your Herbalife ID Number and order number with your wire transfer. Wire transfers may be used for telephone, fax or mail orders. Bank Wire Transfer Information Company Name: Herbalife Canada Ltd. Bank Name: Toronto Dominion Bank Location: 340-5th Avenue S.W. (403) 292-1100 Transit Number: 8060 Account Number: 0554092 Additional Information: Purchaser s Name Herbalife ID Number Order Number Telephone Orders To place your order by telephone, please have your order completed and the information listed on page -5- readily available before calling. Again, this will help ensure speedy and accurate processing of your order, as we are unable to place orders on hold awaiting information. You may pay for telephone orders by: American Express, VISA and MasterCard Credit Wire Transfers Automatic Payment System (APS) * SALES ORDER CALL CENTER (CALGARY) Monday-Friday: 8:00 am-6:00 pm (Mountain Time) Saturday: 9:00 am-3:30 pm (Mountain Time) English Line: (403) 204-7700 Press #1 for English French Line: (403) 204-7700 Press #2 for French Continued on page -8-7
Herbalife strives to provide you with the most flexible and efficient telephone ordering system available. Our Sales Order Call Centre features separate English and French Sales Order lines. You may mail your fully completed orders directly to Herbalife at the address listed below. Please be certain that the order form is completed in full and payment is enclosed, as missing or incomplete information will cause processing and shipping delays. Please be certain to indicate your preferred method of shipment in the Shipping Instructions box on the order form. You may pay for mail orders by: American Express, VISA and MasterCard Credit Automatic Payment System (APS) Guaranteed Cheques Personal Cheques * Wire Transfers Please do not mail cash! Mail Orders Mailing Address Herbalife of Canada Ltd. Attn: Sales Order Department #120, 4550-25th Street S.E. T2B 3P1 Fax Orders You may fax your order(s) directly to our office at the number listed on the next column. Please be sure that the order form is completed in full, listing the type of payment, as missing information will cause processing and shipping delays. Please be certain to indicate your preferred method of shipment in the Shipping Instructions box on the order form. You may pay for fax orders by: American Express, VISA and MasterCard Credit Automatic Payment System (APS) Wire Transfers Sales Order Centre Fax Number 24 Hours a Day, 7 Days Per Week (403) 204-7705 Walk-In Orders If you are located near Calgary or Montreal, the fastest way to receive product(s) is to place and pay for your order in person at our Sales Centre. Please note that you must present your Herbalife ID Card. Please bring the information listed on page -5- under Placing Orders and a completed order form with you when placing your order at the Sales Centre in order to avoid any delays. Orders cannot be picked up until full payment is received and confirmed. If someone other than you will be picking up your order, please specify the individual s name when placing your order, and please ensure they are prepared to present a form of identification (i.e. passport or driver s license when picking up the order). You may pay for walk-in orders by: Cash - Canadian Dollar Only American Express, VISA and MasterCard Credit Automatic Payment System (APS) Debit Card Guaranteed Cheques Personal Cheques * Continued on page -9-8
Calgary Sales Centre Monday-Friday: 8.00am - 6.00pm (Mountain Time) Saturday: 9.00am - 3.00pm (Mountain Time) Herbalife Canada Ltd. 120, 4550 25th Street S. E. T2B 3P1 Telephone: (403) 204-7700 Montreal Sales Centre Monday-Friday: 10.00am - 7.00pm (Eastern Time) Saturday: 10.00am - 4.00pm (Easterm Time) Herbalife of Canada Ltd. 6969 Trans-Canada Highway, Unit #118 Ville St-Laurent, PQ H4T 1V8 Packaging & Handling Charge In order to accommodate the costs associated with packaging, handling and marketing, be sure to add 7% packaging and handling charge to the full retail price of all product and art of promotion (AOP) orders. Tax Information Please be certain to add to your order the appropriate sales tax, based on the exact location (province) where the order is being shipped, e.g. 14.5% for Quebec (7% GST + 7.5% QST), 15% for Newfoundland, New Brunswick, Nova Scotia and 7% for the rest of Canada. Note: Will Call (Pick-Up) orders are taxed on the location of the Herbalife Distribution Centre. Shipment Inquiries For shipment inquiries, please contact our Sales Order Support department at the following number: Shipping Procedures All orders will be shipped on the next business day, whenever possible, if all moneys have cleared. You should indicate the method of shipment applicable, i.e., Greyhound Bus, UPS, etc on each order. United Parcel Service - UPS UPX Air Express will deliver to most major cities the next day within Ontario and Quebec. It will take two to three working days for delivery to other areas and three to five working days to the Maritimes. Because UPS delivers to your door, it is recommended that someone be available at the ship to address to accept the shipment (You may wish to address your shipment to a neighbour, friend, relative, etc). When your shipment consists of several boxes, they may not all be delivered at the same time. Missing telephone number or Postal Code, use of P.O. Box numbers instead of street address, Rural Routes or incomplete addresses can delay your shipment UPS Ground All orders shipped to the West will be sent UPS Ground unless you choose another courier (Greyhound). We also use this method of shipment for dangerous goods (all Dermajetics Fragrances and GHD hair sprays). This service will range from overnight delivery to five or more working days, depending on the distance between the shipping point and the destination. Door-to-door delivery is provided. Someone must be available at the Ship to address to accept the shipment (You may wish to address your shipment to a neighbour, friend, relative, etc). Generally, the complete shipment is delivered at once. Greyhound Bus Service Your order can be shipped via Greyhound if you reside in Western Canada. Deliveries are from station-to-station (not door-to-door). They offer call-upon-arrival service. Will accept transport of dangerous goods. You may request freight collect. One to six days transit, depending where you are located. Order Support Monday-Friday: 7:00am-5:30pm (Mountain Time) Telephone Number: (403) 204-7700 Fax Number: (403) 204-7705 Continued on page -10-9
Air Shipping All air shipments are made on a pre-paid freight basis, and offer the fastest means of transportation for Eastern Canada. Any hidden damages discovered after the driver has left must be reported immediately to the Herbalife Order Support Department. Keep the damaged items in the original package as found, including all packing material and the master container. In the event that highly visible damage is evident upon receipt, please refuse the shipment. Request a claim form from UPS and notify the Herbalife Order Support Department immediately. When Receiving Your Shipment All Herbalife products are in perfect condition when the carrier takes possession of the shipments at our Distribution Centre. Before signing Received for your shipment, here are some things to remember: Your signature means that you have received your shipment in a satisfactory manner (unless otherwise noted). Determine the number of boxes your shipment includes, either by the packing slip or by the number of boxes marked on top of each box, e.g. 1 of 3, 2 of 3, etc. Only sign Received for the number of boxes actually received. Inspect your shipment for obvious outside damages. Even though there is no apparent damage on the outside, some damages might be found inside, which could become part of a freight claim. Should there be visible damage do not accept delivery of that box or have the driver wait until you have inspected your order. Please record any damages and then contact the Herbalife Order Support Department immediately. Freight Claims Air and ground carrier damaged and lost shipment claims must be placed directly with the Herbalife Order Support Department, please refer to page -9- for complete information. Air and motor freight claims, when properly documented and immediately filed, are usually settled promptly. Important Reminders UPS lost shipments (complete or partial) must be reported to Herbalife Canada Ltd. within seven (7) days after estimated time of arrival. Placing International Orders For your convenience, we have a simple ordering process that will enable you to expand your business internationally. International orders are available through our Canadian Sales Order Centre or through any Herbalife Distribution Centre worldwide (where applicable). Please note that Herbalife can only accept International Orders for countries in which Herbalife is officially open. Each country in which Herbalife is officially open has a specific range of products, literature and promotional items approved for that country and approved for international ordering. Therefore, orders can only be accepted for products and literature approved for international ordering in the country to which you are requesting shipment. It is also important to note that when you purchase products, literature or promotional items for shipment to a specific country, they must be sold only in that country. Information on approved products, literature and promotional items approved for international ordering for each open country is readily available through the Sales Order Center or through the Distributor Relations Department. When placing your order, please indicate that you are placing an International Order. The Order Representative will assist you with pricing, which will be based on prices in the country to which the products are being shipped, then converted to Canadian Dollars for payment in Canada. Continued on page -11-10