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SAMPLE DISTRIBUTOR APPLICATION
19
REGISTRATION CARD
is an authorized independent Distributor with
®
ID No:
SAMPLE
APPLICATION FOR INTERNATIONAL
DISTRIBUTORSHIP
DEMANDE DE STATUT
DE DISTRIBUTEUR INTERNATIONAL
SOCIAL INSURANCE NO
2
120, 4550 - 25th Street S.E.
Calgary, Alberta T2B 3P1
RECORDS/DOSSIERS
□□□ □□□ □□□
OFFICE USE ONLY/RÉSERVÉ AU BUREAU
FIRST NAME/PRÉNOM
□□□□□□□□□□□□□□□□□□□□□□□□□□□□
CITY/VILLE
PROVINCE
AREA CODE
TELEPHONE NUMBER
□□□
DATE OF BIRTH IF UNDER 18
□□□ □□□□
6
INDICATIF RÉGIONALNUMÉRO DE TÉLÉPHONE
7
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.
YEAR/ANNÉE MONTH/MOIS DAY/JOUR
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 __________________________________________________________
APPLICANT
10
CANDIDAT (E) ___________________________________
I.D.#/identité
8
□□□□□□□□□
1st SPONSOR
11
1er PARRAIN ____________________________________
9
SPONSOR’S NAME/NOM DU PARRAIN
SAMPLE
04 –
The number above becomes your permanent
Herbalife I.D. number.
Le numéro ci-dessus sera votre numéro d’identité
pour Herbalife.
POSTAL CODE/CODE POSTAL
□□□□□□□□□□□□□□□□□□□□□□□□□□□□
5
IDENTIFICATION NUMBER
NUMÉRO D’IDENTIFICATION
MIDDLE INITIAL/INITIALE
□□□□□□□□□□□□□□□□□□□□□□□□□□□□
STREET ADDRESS/ADRESSE
4
_____/_____/_____
Mo / Day / Year
NO D’ASSURANCE SOCIALE
LAST NAME/NOM DE FAMILLE
3
of Canada Ltd.
®
Application Date
I.D.#/identité
SUPERVISOR’S NAME/NOM DU SUPERVISEUR
□□□□□□□□□
2nd SPONSOR
12
2ième PARRAIN __________________________________
STREET ADDRESS/ADRESSE
CITY/VILLE
PROV
STREET ADDRESS/ADRESSE
P.C./C.P.
CITY/VILLE
PROV
I.D.#/identité
□□□□□□□□□
3rd SPONSOR
13
3ième PARRAIN __________________________________
P.C./C.P.
I.D.#/identité
□□□□□□□□□
1st SUPERVISOR
14
1er SUPERVISEUR _______________________________
SPONSOR’S I.D.#/IDENTITÉ DU PARRAIN
SUPERVISOR’S I.D.#/IDENTITÉ DU PARRAIN
SPONSOR’S TEL. NO./NO TÉLÉPHONE DU PARRAIN
SUPERVISOR’S TEL. NO./NO TÉLÉPHONE DU PARRAIN
I.D.#/identité
□□□□□□□□□
Please Note: Due to space limitation, the terms and conditions of agreement are not reflected on this sample.
Manitoba & Saskatchewan Distributors see Reverse side
15
16
Distributeurs du Manitoba et de la Saskatchewan voir le verso
DATED AT/ daté à ____________________________________________________________________________________________, ON/LE__________________________________ 20______________
CITY/VILLE
PROVINCE
COUNTRY/PAYS
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 CANADA LTD.
DEMANDE ACCEPTÉE POUR HERBALIFE DU CANADA 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.
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.
CANADA
6
ID
PA
Accepted Methods
Of Payment
Bank Wire Transfer Information
ID
PA
Company Name:
Bank Name:
Location:
All Orders must be paid in full, processed and accepted for
us to release the order. The following methods of payment are
acceptable:
Transit Number:
Account Number:
Additional Information:
■ 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.
Herbalife Canada Ltd.
Toronto Dominion Bank
340 - 5th Avenue S.W.
Calgary, Alberta
(403) 292-1100
8060
0554092
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:
■ 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.
■
■
■
American Express, VISA and MasterCard Credit
Cards *
Wire Transfers
Automatic Payment System (APS) *
■ 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.
* Please refer to the “Accepted Methods of Payment” section
for limitations.
■ 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.
French Line:
(403) 204-7700
Press #2 for French
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
Continued on page -8-
CANADA
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.
■
■
■
Mail Orders
* Please refer to the “Accepted Methods of Payment” section
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
Cards *
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
American Express, VISA and MasterCard Credit
Cards *
Automatic Payment System (APS)
Guaranteed Cheques
Personal Cheques *
Wire Transfers
for limitations.
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:
Please do not mail cash!
* Please refer to the “Accepted Methods of Payment” section
for limitations.
Mailing Address
Herbalife of Canada Ltd.
Attn: Sales Order Department
#120, 4550-25th Street S.E.
Calgary, Alberta
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:
Cash - Canadian Dollar Only
American Express, VISA and MasterCard Credit
Cards *
Automatic Payment System (APS)
Debit Card
Guaranteed Cheques
Personal Cheques *
* Please refer to the “Accepted Methods of Payment” section
for limitations.
Continued on page -9-
CANADA
8
Shipping Procedures
Calgary Sales Centre
Monday-Friday: 8.00am - 6.00pm (Mountain Time)
Saturday: 9.00am - 3.00pm (Mountain Time)
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.
Herbalife Canada Ltd.
120, 4550 25th Street S. E.
Calgary, Alberta
T2B 3P1
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
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
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.
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.
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.
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:
Order Support
Monday-Friday: 7:00am-5:30pm (Mountain Time)
Telephone Number: (403) 204-7700
Fax Number: (403) 204-7705
Continued on page -10-
CANADA
9
■ 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.
Air Shipping
■ All air shipments are made on a pre-paid freight basis, and
offer the fastest means of transportation for Eastern Canada.
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-
CANADA
10