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INDEPENDENT BUSINESS OWNER IBORegistration AgreementPlease Enter

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INDEPENDENT BUSINESS OWNER IBORegistration AgreementPlease Enter
INDEPENDENT BUSINESS OWNER (IBO)
Registration Agreement

Please enter assigned IBO ID number if pre-registered online at www.amway.ca or by phone (800)265-5470.
IBO ID NO.

6916245
INVOICE NO.

PLEASE PRINT USING BLACK INK.

SPONSORING IBO INFORMATION

SPONSORING IBO ID NO.

6880426
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LAST NAME

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NIU
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1377309871
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FIRST NAME

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ZIJIAN
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If Sponsor resides outside Canada, the U.S., Puerto Rico, U.S. Virgin Islands, Jamaica, Guam, the Pacific Islands of American Samoa, Federated States of Micronesia, Marshall Islands, Northern
Mariana Islands, Palau, Wake Island, Dominican Republic, or other authorized Atlantic and Caribbean islands operating under the Amway Independent Business Owner Compensation Plan for North
America (”Plan”), OR, if Registrant has a primary business in another country, complete the information below:
This is my Primary Business.

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International Sponsor ID No. |

Country

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International Sponsor

REGISTRANT(S) INFORMATION

LAST NAME

GAO
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FIRST NAME

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SHUAI
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CO-REGISTRANT’S LAST NAME (if applicable)

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STREET ADDRESS

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801-2060
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HALIFAX
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B3L-4P7
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CITY

E-MAIL ADDRESS*

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CO-REGISTRANT’S FIRST NAME (if applicable)

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GAOSHUAI0125@HOTMAIL.COM
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PROV

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POSTAL CODE

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(902)
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|809-0542
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(902)
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|809-0542
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EVENING TELEPHONE NUMBER (optional)

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DAYTIME TELEPHONE

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