Upload
others
View
3
Download
0
Embed Size (px)
Citation preview
MAILING ADDRESS
ENROLLMENT FORM
USERNAME (please include 3 options, minimum 3 letters)
PLEASE PRINT CLEARLY. Fill out this form completely.
FIRST NAME MIDDLE NAME
FIRST NAME MIDDLE NAME LAST NAME
LAST NAME
1. 2. 3.
USERNAME FULL NAME
SSNIDENTIFICATION:
PANAMA
TAX ID PASSPORT NO.
No Yearly Access Fee30% Off Retail30% Off Retail & Access to the Financial Rewards Program
$19.95 Yearly Access FeeMembership Type: Preferred CustomerBrand AmbassadorMembership Type:
MOBILE PHONE
E-MAIL ADDRESS
BUSINESS NAME (optional)
PASSWORD (minimum 8 alpha-numericlower/uppercase characters)
PIN (4 digits)
ZIP / POSTAL CODECITY STATE / PROVINCE COUNTRY
MEMBERSHIP & MEMBER KIT
ACCOUNT INFORMATION
YOUR SPONSOR
NOTE: All prices displayed are in USD. S&H and taxes are not included.
NOTE: Actual Kit contents may change slightly.
PANAMA V6.0.020200619
TM
$219 110BV SMA MONTHLY 10%
$299.95 100BV PES MONTHLY 10%
SMA ANNUAL 20%$1,500 750BV
PES ANNUAL 15%$649.95 300BV
1 x SMA Monthly **
CONTENT
1 x PES Monthly ***
CONTENT
FOUNDERS KIT 20%$4,999.95 2500BV
CONTENT1 x PES Monthly ***1 x OMA Monthly ****1 x OMA 15-License Bundle1 x SMA 2-Year Plan4 x tůw Smartwatch
NOTE: ** With the purchase of Smart Market Academy, there will be a Monthly recurring fee (US$119 per month). *** With the purchase of Premier ECO Subscription, there will be a Monthly recurring fee (US$37.95 per month).**** With the purchase of Online Marketing AI, there will be a Monthly recurring fee (US$87 per month).
GOLD DIGITAL KIT 20%$1,099.95 500BV
CONTENT1 x OMA Monthly ****1 x SMA Monthly **1 x PES Annual1 x tůw Smartwatch
BENEFITSReceive an Extra Share in the Global Pool Vault for LIFEQualify for 20% Team Volume Commissions (TVC) %
*Limited to 500 per country.
ADD PRODUCTS
CREDIT CARD NUMBER
EXPIRATION DATE (mm / yyyy)
SECURITY CODE / CVV2
PAYER FULL NAME
same as mailing address
Credit Card Other
ZIP / POSTAL CODE
DATE
STATE / PROVINCE COUNTRY
BILLING ADDRESS
CITY
PAYER SIGNATURE
DATEAPPLICANT SIGNATURE
CO-APPLICANT
APPLICANT
I hereby authorize for my credit card to be charged for the cost of my initial order as reflected on this application, as well as any and all future orders I place, including any applicable taxes and Shipping & Handling fees. By signing below, I agree for my credit card to be charged.
APPLICANT AGREEMENTI have read and agree to be bound by the Agreement (which includes the Privacy Policy, Terms Of Use, Return Policy, Compensation Plan, and Policies & Procedures). I certify that I am 18 years old and legally able to enter into the Agreement. I understand that I have the right to terminate my ByDzyneTM Member Agreement at any time, with or without reason, by sending written notice to ByDzyneTM.
CREDIT CARD
PAYMENT AUTHORIZATION
PAYMENT INFORMATION NOTE: For credit card payments, Only VISA and MASTERCARD accepted.
tůw Smartwatch
OMA Annual Subscription
OMA Monthly ****
SMA Annual
SMA Monthly **
PES Annual
PES Monthly ***
QTY:MEMBER
PRICEBV
$199
$1044
$87
$1500
$219
$649.95
$299.95
100
360
30
750
110
300
100
BVSUB-TOTAL:
MEMBERSUB-TOTAL:
$$$
$
$$
TOTALTOTAL BV TOTAL PRICE
$$$