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I AGREE THAT THE ABOVE INFORMATION IS TRUE AND ACCURATE AND AGREE TO BE BOUND BY THE TERMS AND CONDITIONS OF THIS
APPLICATION-AGREEMENT AS SET FORTH ON BOTH SIDES OF THIS DOCUMENT.
If you decide to terminate your contract with Pink Papaya you may within one year of the date of termination return any required purchases
including sales kits and any inventory purchases at 90% of the original cost to the consultant. The products and business aids returned at
termination must be in re-saleable condition. Pink Papaya will cover the cost of all shipping and handling for these returns.
PAYMENT OPTIONS:
Credit Card Authorization (must be completely filled out)
Kit Selection (Choose One)
Mastercard □ VISA □ AMEX □
⌧ Special Limited Consultant $49 kit fee plus $20 shipping
Credit Card # & handling & tax
Expiration Date:
Name of Cardholder:
Total cost of kit (from Kit Order Form) $ 49.00
Signature:
Certified Check / Money Order #: Shipping / handling $ 20.00
Personal Check # Sub-total $
Please send this Application along with your Payment, Sign-up Kit Order Form and Local sales tax (Rate %) $
Consultant Information Form with your signature to the address or fax below. Your
application will not be considered without ALL of the above items. Please allow 7 to 10 TOTAL AMOUNT ENCLOSED $
business days from receipt by Pink Papaya for delivery of your business Sign-Up Kit.
Mail to:
Pink Papaya
15466 Los Gatos Blvd., Suite 109-17, Los Gatos, CA 95030
E-FAX: 408-384-6249 PHONE: 866-746-5444
INDEPENDENT CONSULTANT AGREEMENT - Terms & Conditions
I acknowledge that I have read, understand, and agree to the terms set forth in this Independent Consultant Agreement. I am 18 years of age
or older, I am a citizen or permanent resident of the United States, and I have a valid Social Security number.
____________________________________ ___________________________
Applicant Signature Date
This section is to be completed by the Company and returned to the new Consultant
ACCEPTED BY:
Susan O’Brien Huneke Date:
New Consultant ID #:
Please print the following information carefully. If you have a sponsor, please ask your sponsor to provide his/her name and ID number.
When you have completed the information, please sign and return this agreement, along with your kit choice and payment, to the address at
the bottom of the page. A countersigned copy of this agreement will be returned to you within 10 business days. All the information below is
required to process this Consulting Agreement. Your Kit will ship within 10 days, but not more than 90 days after your Consulting Agreement
has been processed.
Mail this agreement, payment and your business card information (Name, Address, City, State, Zip, and phone) if different from above to:
Pink Papaya
15466 Los Gatos Blvd. Suite 109-17
Los Gatos, CA 95030