ACN Team Trainer

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TEAM TRAINER Success System Fee: (including team trainer kit) £166 + £33.20 VAT = £199.20 PLEASE TYPE OR PRINT CLEARLY IN CAPITALS

United Kingdom - Independent Representative Agreement

ACN VAT Number: GB 726 3625 33

1A. Applicant (Individual):
Last name:

❍ Mr. ❍ Mrs. ❍ Miss.
Middle initials: First name:

Date of birth:
(DD/MM/YY)

��������
Mobile phone:

Telephone phone:

Address:

Post code:

�����

Email address:

1B. Applicant (Business):
Company name:

(Please provide a copy of VAT and/or business registration if applicable)

❍ Mr. ❍ Mrs. ❍ Miss
Company Number:

Contact:

Town:

VAT Number (if applicable):

Telephone number:

Mobile phone:

Address:

Post code:

�����

Email address:

2. Sponsor
Last name:

First name:

ASKARI SYED ���������� 8870224626
ACN TEAM ID NUMBER

Telephone number:

ACN European Services Limited ("ACN") is the promoter of this trading scheme in the United Kingdom. The products and services which are supplied under this scheme are telecommunications products and services and related products and services supplied by ACN and other products and services as ACN may market from time to time. Sales of these products and services are made by ACN Independent Representatives who participate in the scheme as ordertakers. The only financial obligation of the Independent Representative (“IR”) during the period of 12 months from the commencement date of the Agreement is to purchase a team trainer kit and, if the IR elects to renew the Agreement, the payment of the annual renewal fee. The IR has no further annual financial obligation and in particular has a free choice whether or not to purchase any products or services under this trading scheme. Upon receipt of proper payment by ACN, the IR shall be designated as an Independent Representative. The IR shall participate in the scheme upon the terms of this Agreement at any levels of the scheme which the IR may achieve.

3A. Payment Method [
❍ Payment by credit card ❍ Visa ❍ EuroCard/MasterCard
Name as appears on card:

5. Signature
Signature: The IR hereby confirms that he/she has received a copy of and has read, understands and accepts all of the terms of ACN’s Independent Representative Agreement, including the Terms and Conditions, the Compensation Plan and the Policies and Procedures (each of which documents is incorporated into the agreement between the IR and ACN and which together comprise the entire agreement between them), and hereby applies to become an Independent Representative in ACN’s trading scheme. By signing this application form, it is hereby confirmed that neither the applicant, the applicant’s spouse or life partner (unless they are the applicant’s sponsor) have had any other interest and/or benefit in any other ACN distributorship within, if applicable, the 12 months prior to the Effective Date of this Agreement, as set forth in the current Policy and Procedures attached hereto. A PARTICIPANT IN THIS MULTI-LEVEL MARKETING PLAN HAS A RIGHT TO CANCEL AT ANY TIME, REGARDLESS OF REASON. CANCELLATION MUST BE SUBMITTED IN WRITING TO: ACN European Services Ltd., P.O. Box 427, Hounslow TW4 6DR, United Kingdom

I, the undersigned, authorise ACN to charge the credit card account listed below and confirm that I have legal authority to enter into this agreement. I have carefully read the terms and conditions and acknowledge this by signing at the bottom of the page.

Billing Address:

Credit Card Number:

Expiration Date: (mm/yy)

���� ���� ���� ���� �����

1. It is illegal for a promoter or a participant in a trading scheme to persuade anyone to make a payment by promising benefits from getting others to join the scheme. 2. Do not be misled by claims that high earnings are easily achieved. 3. If you sign this contract, you have 14 days in which to cancel and get your money back. Signature ACN: Date: (DD/MM/YY)

Signature Card Holder:

❍ Payment by cheque:...
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