Name Middle Initial
City: (Please do not
Code: Country you live in:
Shipping Address (if
different from above)
City: (We do not ship
to Post Office Boxes)
Code: Country you live in:
Check here if
your shipping address is residential.
Home phone number
with area code:
Work phone number
with area code: Ext. Number
METHOD OF PAYMENT: Credit Card Number:
Applications without signatures & tax
information will not be processed. Fee $35.00
PLEASE READ THIS
INFORMATION, THIS IS A LEGALLY BINDING CONTRACT!
1.) For tax purposes,
the applicant must provide taxpayer identification number (this is normally the
applicant's social security number). The taxpayer identification number must
match the name of the application. Only one taxpayer identification number per
household and/or business can be accepted . Application must have your
signature and your social security number or Federal tax Id number in order to
2.) I am an independent
contractor and not an employee, agent, or representative of PURE HERBS, LTD.
Therefore, I am solely responsible for my own business.
3.) I will obey all
laws pertaining to the operation of my business including, but not limited to,
paying all fees and taxes due any local, state or federal agencies.
4.) I will purchase
product and conduct my business according to the procedure published in the PURE
HERBS, LTD. MARKETING PLAN.
5.) I will never make
any claims, statements or advertisements concerning PURE HERBS, LTD. or any of
its products except those that have been officially
approved in writing by the company. I understand that herbs and PURE HERBS, LTD.
herbal products are foods and should be represented as such. They cannot be used
to treat or cure disease.
6.) Due to F.D.A.
regulations regarding food products, PURE HERBS, LTD. has a no return policy.
The exceptions are breakage and manufacturing defects. This policy is necessary,
as the returned product must be destroyed.
7.) I may sponsor
persons into the PURE HERBS, LTD. DISTRIBUTION PROGRAM without cost or
investment, provided PURE HERBS, LTD. accepts their application. PURE HERBS,
LTD. reserves the right to deny any application.
8.) PURE HERBS, LTD.
reserves the right to terminate this DISTRIBUTOR AGREEMENT, upon 30 days prior
written notice, should the undersigned violate any of the terms and conditions
of this DISTRIBUTOR AGREEMENT, any published rule of PURE HERBS, LTD., or any of
the provisions of the PURE HERBS, LTD. MARKETING PLAN. Furthermore, PURE HERBS
LTD., reserves the right to set off against any monies due and owing to the
undersigned by PURE HERBS, LTD. any money due and owing by the undersigned
downline or for any other violation of the undersigned of this DISTRIBUTOR
AGREEMENT or the aforementioned published rules or MARKETING PLAN of PURE HERBS,
9.) PURE HERBS, LTD.
reserves the right to amend the MARKETING PLAN upon 30 days notice to existing
10.) PURE HERBS,
LTD. HAS AN APPLICATION FEE OF $35.00 (due when turning the application in
to PURE HERBS, LTD.) and a yearly Distributorís renewal fee of $20.00 (due each
year following your initial sign up). This renewal fee shall be used to cover
the costs of newsletters and materials sent to the Distributor. The applicant is
responsible for mailing or faxing this Application Agreement and his/her
application fee to the company. PURE HERBS, LTD. will not accept any altered
Application Agreement Forms.
will not be processed & will be sent back to the applicant.
11.) I am eighteen
years of age or older.
12.) Applications must
be mailed or faxed in, we cannot take phone applications.