Home Page| The Health Club Network - Sponsor
Robert Keter [SPONSOR ID=7734] 3600 Regal Blvd. Memphis, TN 38118 |
Application/Order
Form Telephone Order (800) 291-8482 Fax Order (800) 792-7566 Member Care Line (901)363-0812 |
Name_______________________________________________Phone#_________________Fax#________________ SS #, Fed ID #, or HCN ID#______________________________Date______________ Street Address__________________________________________City__________________State____ Zip__________________ Ship To:_____________________________________________Address:_____________________________________________ City______________________State____ Zip_________________ |
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| New Members: | |
| __ | Yes. I would like to activate my HCN Distributorship by purchasing one of the following Personal Development Programs. |
| __ | $100 OneStar, Born Rich, Advantage Membership, 9.8¢ long distance service. |
| __ | $200 TwoStar, Winners Image. |
| __ | $300 ThreeStar, Goal Achiever, Mission In Commission. |
| __ | $600 All three programs. |
| __ | Debit my HCN personal account (provided there are sufficient funds), credit card, or bank account for the following monthly order. I understand that I must purchase $60 in club-priced products & sponsor 2 who do the same to qualify for monthly product commissions. |
| __ | I would like to become a
wholesale member only. I understand that I can qualify
for monthly product commissions with a $60 wholesale
order and by sponsoring 2 who do the same. |
| __ | Existing Members |
| __ | This is a change to my automatic monthly product order. Please send me the following products each month. |
| __ | This is a one time direct order. Please do not change the status or my existing automatic order. |
| Every HCN product is backed by our 30 Day 100% money- back empty-bottle guarantee. If you're not completely satisfied, send back the unused portion - even the empty bottle for a full refund! (Sorry, no refunds on sales aids.) | |
| Qty | Item# | Products Description | Wholesale Price | Club Price | Total |
| VT117C | HCN Sampler (One of everything) | 617.33 | 335.56 | ||
| VT120 | Power Pack (Includes items marked 1, 2, 3, 4) | 81.60 | 41.31 | ||
| VT100 | Vita.Difference (Includes items marked with *) | 119.70 | 61.18 | ||
| VT101* | The Ultimate Enzyme - (3) | 17.95 | 8.82 | ||
| VT102 | Beyond Antioxidant -(1) | 21.75 | 11.95 | ||
| VT103A | Trim.Tonics | 22.50 | 11.90 | ||
| VT104 | Male.Tonics | 22.50 | 8.71 | ||
| VT105 | Her.Tonics | 17.95 | 9.66 | ||
| VT106 | Adapta.Stress - (1) | 17.95 | 7.76 | ||
| VT110* | Vita.Tonic | 26.95 | 14.22 | ||
| VT111* | Vita.Daily (2) Multivitamin | 23.95 | 12.78 | ||
| VT112* | Vita.Clenz | 14.95 | 7.10 | ||
| VT113* | Vita.Biotic | 17.95 | 9.13 | ||
| VT114* | Vita. Chi | 17.95 | 9.13 | ||
| VT115 | Vita.Bite | 17.95 | 6.14 | ||
| VT116 | Vita.Tonic Samplers (50) | 19.98 | 17.93 | ||
| VT118 | Passion.Tonic (Box of 8) | 39.95 | 23.62 | ||
| VT121 | Blast Away Gum (1O packs of 4 pieces) | 18.00 | 9.00 | ||
| VT122 | Vita B | 19.00 | 9.50 | ||
| VT123 | Vita C w/ Bioflavanoid | 17.00 | 8.64 | ||
| VT124 | Vita C Chewable | 23.00 | 11.81 | ||
| VT125 | Cal. Meg | 12.00 | 6.34 | ||
| VT126 | Flaxseed Oil | 19.00 | 9.50 | ||
| VT127 | Gingko Biloba | 24.00 | 11.99 | ||
| VT128 | Deodorized Garlic | 12.00 | 6.34 | ||
| VT129 | DHEA | 16.00 | 8.28 | ||
| VT130 | 77 Colloidal Minerals | 24.00 | 11.95 | ||
| VT131 | Care Tabs | 19.00 | 8.25 | ||
| VT132 | EarthFirst Laundry Balls | 76.68 | 38.34 | ||
| VT133 | Opti-Zone Shake (Vanilla) | 29.95 | 15.95 | ||
| VT134 | Creatine | 31.98 | 17.98 |
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Quick Start
Distributor Kit_________
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Method of Payment: __Visa __Mastercard __Discover
__Cashier's Check __Money Order __Check by Fax*
*(Attach check to a blank page and fax with your order)
Card#_____________________________________Exp.___/___ Signature (Credit
Card or Check by Fax) X________________________________________________ |
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