Print out this form, fill it out, and follow
ALL 2 steps, as outlined:
(1) Fax it to Flint River Ranch at
678-990-5650;
(2) Mail original to Flint River Ranch, 1243 Columbia Ave., B-7, Riverside,
CA 92507-2123
DISTRIBUTOR APPLICATION
Debra L Jensen FRR# QGA2 PH 702 989 5398
Federal ID# or SS# (official tax
number):___________________________
Company Name: _____________________________ Resale Tax #:leave blank if you dont have one ______________
NAME Last: _______________________ First
:____________________ Initial: ______
Address:
______________________________________________
City: ______________________ State: __________ Zip:
_____________
Telephone: (_____)________________
E-Mail:______________________________
Sponsor: Debra L Jensen
Sponsor ID# QGA2
www.flintriverranch.org/distributorQGA2.html
healthypets@flintriverranch.org
Sponsor Telephone: 702-989-5398
Associate ID# Assigned: ___________
DISTRIBUTOR APPLICATION AGREEMENT
My signature below indicates that I am of legal
age and I have read, accept, and agree to all the Terms and Conditions regarding
Privileges as outlined in this agreement.
- I state and affirm that I am acting as a
free agent and independent contractor, holding myself out to the General
Public as an independent contractor for other work or contracts as I see
fit. I am not an employee of FLINT RIVER RANCH, or any subsidiaries, and
will operate as an independent contractor fully responsible for my own
expenses; FLINT RIVER RANCH will not be held responsible for any claims on
behalf of FLINT RIVER RANCH other than those set forth in FLINT RIVER RANCH
literature.
- I realize that I must abide by all Federal,
State and Local laws pertaining to self-employment and the marketing of
company products, including any taxes due and payable to any of the above.
- I understand that there is no expense to
initiate an Associate Agreement. I will effectuate and promote the sale of
FLINT RIVER RANCH products on a continuing basis.
- I understand this agreement can be
terminated at any time upon mailing written notice to FLINT RIVER RANCH,
This agreement shall automatically end on the 1st day of July each year,
unless renewed by Associate and FLINT RIVER RANCH in accordance with the
then existing Marketing Plan and Policies and Procedures made part of this
Agreement by reference.
- The FLINT RIVER RANCH Policy and Procedures
provide for transfer and assignment of this Agreement.
The situs of this Agreement is California.
Signature of Applicant/Associate
____________________Date:____________________
FLINT RIVER RANCH