| ASSOCIATE INFORMATION
Federal ID# or SS#: (Official Tax Number)____________________________________________
Company Name: __________________________
Resale Tax # _____________________
Name Last: _________________ First: ________________________________
Initial:_________
Address: _______________________________________________________________________
City: ________________________________State: ________ Zip: ___________-_____________
Telephone: (_________)_______________ Email______________________________________
Sponsor: Live Healthy, LLC______________________ Make checks
payable to: _______________________
Sponsor ID# __122697___________________ Associate ID# Assigned:
_______________________
APPLICANT AGREEMENT
My signature below indicates that I am of legal age and I have read,
accept, and agree to all the
Terms and Conditions regarding Privileges as outlined in this Agreement.
1. I state and affirm that I am acting as a free agent and
independent contractor, holding myself out
to the General Public as an independent contractor for other work or
contracts as I see fit. I am not
an employee of FLINT RIVER RANCH, or any subsidiaries, and
will operate as an independent
contractor fully responsible for my own
expenses; FLINT RIVER RANCH will not
be held
responsible for any claims on behalf of FLINT RIVER RANCH other than
those set forth in FLINT
RIVER RANCH literature.
2. I realize that I must abide by all Federal, State, and
Local laws pertaining to self-employment
and the marketing of company products, including any taxes due and
payable to any of the above.
Flint River Ranch will be responsible for the collection and remittance
of all applicable sales and use
tax on the retail price of the product. Resale certificates will be
accepted for companies with
established retail locations who collect and report their own taxes.
3. I understand that there is no expense to initiate an
Associate Agreement. I will effectuate and
promote the sale of FLINT RIVER RANCH products on a continuing basis.
4. I understand this Agreement can be terminated at any time upon
mailing written notice to FLINT
RIVER RANCH. This Agreement shall automatically end on the 1st
day of July each year, unless
renewed by Associate and FLINT RIVER RANCH in accordance with the then
existing Marketing
Plan and Policies and Procedures made part of this Agreement by reference.
5. The FLINT RIVER RANCH Policy and Procedures provide for
transfer and assignment of this
Agreement. The situs of this Agreement is Georgia.
Date: ____________________________
FLINT RIVER RANCH
11205 Alpharetta Hwy, H-4
______________________________
Roswell, GA 30076
Signature of Applicant / Associate
800-FLINT-58 Fax 678-990-5650
Shipping address if different
Address __________________________________
City____________State____Zip___________
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