Thailand Distributor Application Business English

THAILAND DISTRIBUTOR APPLICATION FOR COMPANIES

MONAVIE NEW ENROLMENT DEPARTMENT
Scan and email completed document to thailand@monavie.com

Should the MonaVie New Enrolment Team need to contact you regarding this
enrolment document, please provide that contact information below.

NAME

TELEPHONE NUMBER

EMAIL ADDRESS

Please allow 24 hours for your emailed enrolment to be processed.

© 2011 MonaVie, Inc. REV. JUNE 2011

DISTRIBUTOR APPLICATION
 Amended FOR A BUSINESS
Distributor ID No. _______________

APPLICANT INFORMATION PRINCIPAL/PARTNER INFORMATION
BUSINESS NAME LAST NAME FIRST PREFERRED (ชึ่อเล่น)

BUSINESS REGISTRATION NUMBER THAI NATIONAL ID CARD NUMBER TITLE

DATE OF ORGANISATION (dd/mm/yyyy) DATE OF BIRTH (dd/mm/yyyy) SIGNATURE

PRIMARY PHONE SECONDARY PHONE LAST NAME FIRST PREFERRED (ชึ่อเล่น)

EMAIL ADDRESS THAI NATIONAL ID CARD NUMBER TITLE

DATE OF BIRTH (dd/mm/yyyy) SIGNATURE
BILLING ADDRESS — NO. & VILLAGE ROAD SUB DISTRICT

DISTRICT PROVINCE POSTAL CODE LAST NAME FIRST PREFERRED (ชึ่อเล่น)

SHIPPING ADDRESS (if different from above) — NO. & VILLAGE ROAD SUB DISTRICT THAI NATIONAL ID CARD NUMBER TITLE

DISTRICT PROVINCE POSTAL CODE DATE OF BIRTH (dd/mm/yyyy) SIGNATURE

The following persons must complete the Principal/Partner Information: 1) if a limited company (บริษัทมหาชนจำากัด), all shareholders, directors, and officers; 2) if a
limited liability company (บริษัทเอกชนจำากัด), all directors; and 3) if a partnership (ห้างหุ้นส่วนจำากัด / ห้างหุ้นส่วนสามัญนิติบุคคล), all general and limited partners.
Include additional pages if necessary.

SPONSOR INFORMATION
SPONSOR’S NAME PHONE SPONSOR’S ID NUMBER

PLACEMENT INFORMATION
PLACEMENT NAME PLACEMENT ID NUMBER CHOOSE ONE L R
(Required)
If the placement you’ve requested has been taken, you will be placed in the next available position on the leg you have indicated above.

VIRTUAL OFFICE (TEMPORARY) PASSWORD*

* Allows you to access your Virtual Office upon enrolment. When you log in, you may change the temporary password.

o By checking this box, I agree that I have read MonaVie’s online sales policy as described below, and will comply with the same. I understand that failure to abide by this policy may
result in penalties without further notice, up to and including termination of Applicant’s MonaVie Distributor account.

IMPORTANT NOTICE: MonaVie Distributors are prohibited from listing, marketing, advertising, promoting, discussing, or selling any MonaVie product, service or the business
opportunity on any website or online forum that offers auction as a mode of selling (e.g., eBay, Amazon). Please refer to Section 4.4.2 of our Policies and Procedures for complete
details. By signing below, you acknowledge receipt of this formal warning. Those found to be in violation of this policy are subject to penalties without further notice, up to and
including termination of their MonaVie Distributor account.

ACKNOWLEDGEMENT
I understand the only financial requirement to become a MonaVie Distributor is a HK$80 enrolment fee. Once my application is accepted, I understand I may access a distributor
kit online that contains sales and demonstration materials and that I will be entitled to all services the Company provides to its distributors. Any product purchase in connection with
becoming a distributor is optional. I authorise the Company to charge the HK$80 enrolment fee to the payment method provided for my initial order. I have read and agree to the
Terms and Conditions herein and the Compensation Plan and the Policies and Procedures and agree to be bound by them. The Terms and Conditions, the Policies and Procedures,
and the Compensation Plan are fully incorporated into this Distributor Application by reference. I certify that I am the age of twenty (20) years or older and am legally able to enter
into this contract.

signature date signature date
X X

Email: Thailand@monavie.com

LAST NAME (please print) FIRST MIDDLE DISTRIBUTOR ID NO. (if known)

INITIAL ORDER
Your initial order can differ from your AutoShip order. Simply enter the items you wish to receive on your initial order here.
ITEM NO. QTY. PRODUCT NAME PV WHOLESALE PRICE

* Total includes shipping. TOTAL*

 VISA  MASTERCARD
CREDIT CARD NUMBER CV V/CID CODE† EXPIRY DATE

NAME (as shown on card) SIGNATURE OF CARDHOLDER‡ DATE

BILLING ADDRESS NO. & VILLAGE ROAD SUB DISTRICT DISTRICT PROVINCE POSTAL CODE

SHIPPING ADDRESS (if different from above) NO. & VILLAGE ROAD SUB DISTRICT DISTRICT PROVINCE POSTAL CODE

†
This is the 3 digit number found on the back of the credit card.
‡
Applicant certifies that his/her signature below as athurised and that he/she is the cardholder named herein. Applicant authorises the Company to charge his/her
card for the initial order.

AUTOSHIP PROGRAM
This optional program allows you to establish a recurring order with MonaVie. Your product will be delivered to you every 28 days at the
wholesale price. Your first AutoShip order will be shipped and billed 28 days from your initial order. Subsequent AutoShip orders will be shipped
and billed on 22–28 day rolling cycle. Any change to your AutoShip order must be submitted to the Company not less than three business days
prior to your next AutoShip order.

ITEM NO. QTY. PRODUCT NAME PV WHOLESALE PRICE

* Total includes shipping. TOTAL*

AUTOSHIP PAYMENT OPTIONS
 VISA  MASTERCARD
CREDIT CARD NUMBER EXPIRY DATE (mm/yy)

BILLING ADDRESS NO. & VILLAGE ROAD SUB DISTRICT DISTRICT PROVINCE POSTAL CODE

NAME (as shown on card) SIGNATURE OF CARDHOLDER†

X
†
I certify that this signature is mine and that I am the cardholder named herein. I authorise the Company to charge my card for this and subsequent Auto-
Ship. orders.

AUTOSHIP DELIVERY INFORMATION  SAME AS INITIAL ORDER OR FILL IN BELOW
NAME

ADDRESS

Email: Thailand@monavie.com

TERMS AND CONDITIONS (NOT-FOR-RESALE) be made by MonaVie to reprocess the order should my payment
method decline; however, MonaVie makes no assurances that
I hereby submit my Application to participate in MonaVie’s these attempts will be made. If a credit card is due to expire, I
Compensation Plan. These Terms and Conditions are incorporated acknowledge that my issuing bank may update my expiration
into my Application MonaVie may accept or refuse my Application date automatically, which will allow MonaVie to process my order
at its own discretion. I certify that I am old enough to enter into an payment; however, I agree to be responsible for providing current
enforceable contract in my jurisdiction of residence. payment. I agree that MonaVie reserves the right to change my
1. Parties. I understand that I am contracting with MonaVie Hong AutoShip orders to subsequent payment methods added by me if
Kong, Ltd. (“MonaVie”) for the purchase of its products and the my first payment method declines. The charge sequence will be
right to participate in its compensation plan, and with MonaVie in the order that I list my payment methods in my MonaVie virtual
Exporting, Inc., a U.S. company. MonaVie Exporting, a MonaVie office.
affiliated entity, has the responsibility to promote the sale of 9. If an order cannot be processed due to payment difficulties,
Products internationally. MonaVie will not be held responsible for personal volume
2. Agreement. Unless otherwise defined herein, all capitalized terms shortfalls.
shall have the same meaning assigned to such terms in the Policies 10. Privacy. MonaVie is committed to collecting and using personal
and Procedures. The term “Agreement” shall mean the Consumer information in a fair and lawful manner, ensuring its accuracy,
Application (of which these Terms and Conditions are a part of, keeping personal information only for lawful purposes, not using
the Compensation Plan, and the Policies and Procedures and any or disclosing such information in a manner incompatible with
country or situation-specific addendum(s) thereto, and any other such purposes, and taking appropriate security measures against
written agreement between the Consumer and MonaVie. I hereby unauthorized access, disclosure or destruction in accor¬dance
agree to be bound by the Agreement. with the provisions of any legislation regarding personal
3. Compliance with Laws. I agree to comply with all applicable laws information in the country I am operating in. In addition to the
relevant to conduct of my activities as Consumer and participant personal information provided by the Distributor in connection
in the Compensation Plan under this Agreement. In particular, with its application to become a Distributor, the Distributor
and without limitation, I must not make any actual or potentially acknowledges that other personal information will be collected
misleading or deceptive claims in relation to commissions and by MonaVie, including information generated as a result of its
other rewards that might be derived from conducting activities as work as a Distributor, such as sales figures and other performance
a participant in the Compensation Plan and as a Consumer of details photographs, advancement information, status, or other
MonaVie products. business related information collectively referred to as “Personal
4. Rights. I understand that as a Consumer, I have the right (but not Information”). I acknowledge that the Personal Information will
the obligation) to: be retained by MonaVie and will be used by MonaVie for
a. buy products from MonaVie in accordance with these Terms marketing and other administration purposes. I acknowledge that
and Conditions in such manner as MonaVie may from time to MonaVie may from time to time disclose this Personal Information
time allow in relation to its Consumers generally; in connection with such purposes to other members of MonaVie’s
b. recommend persons for acceptance as MonaVie Consumers group and to other Distributors, all of whom may communicate
(subject to acceptance by MonaVie); with me, including by way of electronic messages. I consent to
c. if qualified, earn bonuses and other rewards pursuant to the MonaVie collecting, retaining, processing and disclosing Personal
Compensation Plan that will be awarded on the same basis Information referred to above. Such information will be held
as it allows to its Consumers generally in respect of legitimate by MonaVie. I understand that I have rights of access to, and
sales of MonaVie products, and not in respect of the mere correction of, this information
introduction of new Consumers to MonaVie. 11. Amendments. MonaVie may be required to amend the
5. Product Returns. I understand that I can return Products I purchase Agreement from time to time. MonaVie agrees to notify me of the
pursuant to the Policies and Procedures. amendments.
6. Independent Contractor. I agree that as a MonaVie Consumer 12. Cancellation. I understand that I may cancel this Agreement,
I am an independent contractor, and not an employee, partner, without penalty, within 14 days of entering into it and that if
legal representative, or franchisee of MonaVie. I agree that I will I do so I am entitled to recover all monies paid to MonaVie.
be solely responsible for paying all expenses incurred by myself, Cancellation must be effected by sending written notice to
including but not limited to travel, food, lodging, secretarial, office, MonaVie via email to thailand@monavie.com. I acknowledge
long distance telephone and other expenses. I UNDERSTAND that the email notice must be from my email of record and include
THAT I SHALL NOT BE TREATED AS AN EMPLOYEE OF MonaVie my name, Customer identification number, password, and
FOR ANY PURPOSE. address.
7. Bonus Payments. I understand that I must not be in breach of 13. Term and Termination. The term of this Agreement is one year,
the Agreement to be eligible to receive Bonuses pursuant to the subject to earlier termination in accordance with this Agreement or
Compensation Plan. in accordance with law. If this agreement is not renewed, or if it is
8. AutoShip. I may elect to have Product sent to me monthly on terminated for any reason, I understand that my right to purchase
an automatically processed order (AutoShip). To change any MonaVie products and receive bonuses will cease. MonaVie
detail pertaining to my AutoShip order, my phoned request or my reserves the right to terminate this Agreement if (i) AFTER NINETY
written request (from my email account of record or via regular (90) DAYS FROM ITS ACCEPTANCE IF I HAVE NOT ORDERED
mail and signed by me) must be received by MonaVie 72 hours ANY PRODUCT OR SPONSORED ANOTHER DISTRIBUTOR or
in advance of the next shipment. I may change my AutoShip if (ii) at any time upon 30 days notice if the Company elects to:
order in my Virtual Office. All orders are subject to applicable (1) cease business operations; (2) dissolve as a business entity; or
VAT, which is included in the order price. Shipping & handling (3) terminate distribution of its products via direct selling channels,
charges will also be added. The credit card listed on my account or (iii) at any time upon not less than 7 days notice and without
will automatically be charged for this order. Orders in which the further notice if I breach this Agreement and fails to remedy the
payment method is declined may not be processed. Attempts may breach before the end of the notice period. . I may cancel this

Agreement at any time, and for any reason, upon written notice invalid or unenforceable, such provision shall be reformed only to
to MonaVie at compliance@monavie.com. the extent necessary to make it enforceable and the balance of
14. No Assignment. I may not assign any rights under the Agreement the Agreement will remain in full force and effect.
without The prior written consent of MonaVie. Any attempt to 19. Delays. MonaVie is not responsible for delays in the performance
transfer or assign the Agreement without the express written of its obligations under this Agreement when performance is
consent of MonaVie renders the Agreement voidable at the made commercially impracticable due to circumstances beyond
option of MonaVie and may result in termination of my business. its reasonable control.
MonaVie may assign the Agreement to an affiliate without my 20. Governing Law. This Agreement will be governed by and
consent or giving me notice. construed in accordance with the laws of the State of Utah
15. Release and Indemnification. To the maximum extent permitted without regard to principles of conflicts of laws.
by law, MonaVie, its parent or affiliated companies, directors, 21. Dispute Resolution. All disputes and claims relating to MonaVie,
officers, shareholders, employees, assigns, and agents the Agreement, or any other claims or causes of action relating
(collectively referred to as “affiliates”), shall not be liable for, to the performance of me or another Distributor shall be settled
and I release MonaVie and its affiliates from, all claims for totally and finally by arbitration as set forth in the Policies and
consequential and exemplary damages for any claim or cause Procedures. Nothing in the Agreement shall prevent MonaVie
of action relating to the Agreement. I further agree to release from applying to and obtaining from any court having jurisdiction
MonaVie and its affiliates from all liability arising from or relating a writ of attachment, garnishment, temporary injunction,
to: (a) my or any other Consumer’s breach of the Agreement ; preliminary injunction, permanent injunction or other equitable
(b) the promotion or operation of a MonaVie business by me or relief available to safeguard and protect its interest prior to, during
any other Consumer and any activities related to it, including, but or following the filing of any arbitration or other proceeding or
not limited to, the presentation of Products or the Compensation pending the rendition of a decision or award in connection with
Plan, the operation of a motor vehicle, the lease of meeting or any arbitration or other proceeding.
training facilities, etc., and agree to indemnify MonaVie and its 22. Jurisdiction and Venue. The parties consent to jurisdiction and
affiliates for any liability, damages, fines, penalties, or other; (c) venue before any federal or state court in Salt Lake County, State
any incorrect data or information provided by me or any other of Utah, for purposes of enforcing an award by an arbitrator
Consumer to MonaVie; (d) my or any other Consumer’s failure or any other matter not subject to arbitration. In the event of a
to provide any information or data necessary for MonaVie to dispute, the prevailing party shall be reimbursed attorney’s fees
operate its business; or (e) awards arising from any unauthorized and reasonable travel and accommodation costs by the other
conduct that I undertake. I further agree to indemnify MonaVie for party.
any liability, damages, fines, penalties or other awards arising 23. Limitation of Action. If I wish to bring an action against MonaVie
from any unauthorized conduct that I undertake pursuant to the for any act or omission relating to or arising from the Agreement,
Agreement. such action must be brought within one year from the date of the
16. Entire Agreement. The Agreement, in its current form and as alleged conduct giving rise to the cause of action. Failure to bring
amended by MonaVie constitutes the entire contract between such action within such time shall bar all claims against MonaVie
MonaVie and myself. Any promises, representations, offers, or for such act or omission. I agree to waive all claims that any other
other communications not expressly set forth in the Agreement are statutes of limitations apply.
of no force or effect. 24. Successors and Assigns. The Agreement will be legal and binding
17. Waiver. Any variation or waiver by MonaVie of any breach of upon and inure t the benefit of the parties and their respective
the Agreement must be in writing and signed by an authorized successors and assigns.
officer of MonaVie. Waiver by MonaVie of any breach of the
Agreement by me shall not operate or be construed as a waiver
of any subsequent breach.
18. Severability. If any provision of the Agreement is held to be

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