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SELECTED PRESS RELEASE:
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posted on:
10/11/2011 8:14:52 PM EST
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Protandim Distributor
health, wellness, vitiamns,
 VISIT WEBSITE (learn more)
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If u would like to become a distrubuter or just become a prefered customer call me 307 670 056 i'm K.C./ or the company below USE LICIA CHRISTENSEN AS ENROLLER ID # is 220084
Primary Applicant
*First & Last Name
And/or Company Name
*Birth Date (MM/DD/YY) (Applicant must be 18 years or older)
*SSN or Tax ID
Primary Applicant Billing Address
(Must match your credit card billing address)
*Address
*City *State *Zip or Postal Code
*Country
Primary Applicant Contact Information
Home Phone Cell Phone
Applicant Email
Co-Applicant/Spouse or Company
First & Last Name
Home Phone Cell Phone
Email
Primary Applicant Shipping Address
(Leave blank if same as above)
*Address
*City *State *Zip or Postal Code
*Required information
DISTRIBUTOR APPLICATION
LifeVantage Corporation • www.lifevantage.com • toll free 1.866.460.7241 • fax 1.800.466.6289
PAGE 1 OF 4
*LifeVantage Distributor Enrollment Order
All new distributors are required to purchase a Starter Kit at the time of sign-up. The cost of the Starter Kit is $50.00
plus applicable shipping and handling fees. Prices do not include tax or shipping and handling. The distributor can meet
the Starter Kit requirements either by purchasing the kit by itself or as a component of the optional upgraded business
builder kits shown below:
Enroller Information
Confirm Your Placement
Vantage Pack 1 - $600.00 (400 PV, $535 Product Value, $135 Infinite Fast Start Bonus)
Starter Kit, 6 Protandim Bottles, 2 (10 pack) Protandim Samples, 2 TrueScience 50ml Bottles, 3 (10 pack) TrueScience Samples,
1 (30 pack) Presentation Tear Pad, 1 (25 pack) Newspapers, 1 (10 pack) Breakthrough Opportunity DVDs, and 1 LifeVantage Decal.
Vantage Pack 2 - $600.00 (400 PV, $520 Product Value, $135 Infinite Fast Start Bonus)
Starter Kit, 13 Protandim Bottles, 1 (30 pack) Presentation Tear Pad, 1 (25 pack) Newspapers, 1 (10 pack) Breakthrough Opportunity
DVDs, and 1 LifeVantage Decal.
Vantage Pack 3 - $600.00 (400 PV, $550 Product Value, $135 Fast Start Bonus)
Starter Kit, 12 Protandim Bottles, 1 (30 Pack) Presentation 1 True Tear Pad, Science 50ml Bottle, 1 (25 Pack) Newspapers, 1 (10 Pack)
Breakthrough Opportunity DVDs, and 1 LifeVantage Decal.
11070801 - July 2011
LifeVantage Corporation • www.lifevantage.com • toll free 1.866.460.7241 • fax 1.800.466.6289
PAGE 2 OF 4
DISTRIBUTOR APPLICATION
Payment Method
Pay with Credit
I authorize LifeVantage to charge the amount shown for the order(s) on the previous
pa page to the payment information I entered below.
To protect your privacy, our secure server uses secure socket layer (SSL). This ensures your credit card information is encrypted
and cannot be read as this information is transferred over the internet.
Distributor Agreement
By signing this application I agree to the terms set forth in section 9.3 of the Terms and Conditions attached herein.
Applicant’s Signature Co-Applicant’s Signature
Date Date
Starter Kit - $50.00 (0 PV)
Note: When ordering a Starter Kit, you must also place an initial product order of 100 PV or more in order to qualify for commissions.
Protandim Bottle - $40 (40 PV) - QTY TrueScience 50ml Bottle - $70 (70 PV) - QTY
Protandim Samp (10 pk) - $30 (30 PV) - QTY TrueScience Samp (10 pk) - $30 (30 PV) - QTY
11070801 - July 2011
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BUSINESS OWNER COMMENTS:
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