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MEMBERSHIP AND PERSONAL GOALS FORM                                                                                               INDEPENDENT ASSOCIATE




                            TWO WAYS TO PURCHASE ISAGENIX PRODUCTS:
  1) Retail: Just want to try the Product ~ no interest in wholesale savings or the business.

  2) Wholesale Membership: Interested in long term health benefits, wholesale savings, or the business.

     $39 Membership Fee (One year wholesale prices, complete website, income opportunity)

                                                     GET STARTED TODAY !
Personal Info:
 Name                                                                                              Date
 Mailing Address
                                                                                                    Zip/Postal Code
 Phone (Day)                                                            Cell Phone
 Email
 Birth Date                                                      Soc. Security# or Tax ID#
                                                                 (Not needed for Retail, Preferred Customer, or Canada)

 Shipping Address    (If different from above mailing address)

                                                                                                    Zip/Postal Code
 Drop Ship Address     (If taking products now)

                                                                                                    Zip/Postal Code
Web Set Up:                                                                                                           (at least 6 characters)

 User Name                                        Example: www.(UserName).isagenix.com             Password

Health and Wealth Goals: (Optional)
 1) On a scale of 1-10 ~ my motivation to improve my health and well-being is
 2) My weight goal is to lose                 pounds and                inches in             days or              week (s)
 3) My personal Isagenix® health goal is mainly to be vibrant, energetic, clean and lean
 4) On a scale of 1-10 ~ my interest in improving my financial well-being is
 5) My financial goal is to earn an additional $                            per month in                months
 6) I’m interested in learning more about the Isagenix Income Opportunity Yes
                                                                    ®                                            No

Initial Product Order:

Autoship Order:    (Your monthly Product choice)


Credit or Debit Card Information:
 Name on Card
 Card Number                                                                             Exp. Date                         CCV#
 Credit Card Billing Address
                                  (if different from above)
                                                                                                    Zip/Postal Code

                                                                                                                                     Jan 25, 2009
WHAT DOES THE ISAGENIX® CLEANSE COST
30-DAY PROGRAM PAK (replaces 68 meals)                                                             AUTOSHIP
                                                                                                                      WHOLESALE                     RETAIL
                                                                                                   REWARDS
2 - Cleanse For Life                                                          BEST
                                                                            PRODUCT
4 - Shakes                                                                   VALUE
1 - Snacks                                                                                         $
1 - Accelerator Capsules                                                                          26000                  29900
                                                                                                                           $                        $37400
                                                                                               $382 / Meal            $438 / Meal                 $550/ Meal
1 - Ionix Supreme
1 - IsaFlush
4 - Want More Energy Packets



9-DAY PROGRAM PAK (replaces 26 meals)                                                              AUTOSHIP
                                                                                                                          WHOLESALE                 RETAIL
                                                                                                   REWARDS
2 - Cleanse For Life
1 - Shake                                                                                         13000
                                                                                                   $                     13900
                                                                                                                           $                     17400
                                                                                                                                                    $
1 - Snacks                                                                                     $500 / Meal            $535 / Meal             $669 / Meal
1 - Accelerator Capsules

SHAKE AND CLEANSE PAK (replaces 28 meals)                                                          AUTOSHIP
                                                                                                                      WHOLESALE                     RETAIL
2 - Cleanse For Life                                                                               REWARDS
2 - Shakes
                                                                                                 13500
                                                                                                   $                       13800
                                                                                                                           $                       18500
                                                                                                                                                    $

                                                                                                4 / Meal
                                                                                               $ 82                   $ 934 / Meal                6 / Meal
                                                                                                                                                  $ 60



TOTAL HEALTH & WELLNESS PROGRAM (replaces 34 meals)                                                AUTOSHIP
                                                                                                                          WHOLESALE                     RETAIL
( M nt enance)
   ai                                                                                              REWARDS
*1 - Cleanse For Life
2 - Shakes                                                                                         $
                                                                                                  17700                  18700
                                                                                                                           $                        $24900
1 - Ionix Supreme                                                                              $520 / Meal            $550 / Meal                 $732/ Meal
1 - Men’s or Women’s Essentials
1 - Antioxidant
CLEANSE STARTER PAK                                                                                AUTOSHIP
                                                                                                                          WHOLESALE                  RETAIL
4 - Cleanse For Life                                                                               REWARDS

                                                                                                  12500
                                                                                                   $                     12800
                                                                                                                           $                    17500
                                                                                                                                                    $
                                                                                               $ 3125 /Bottle         $32 /Bottle
                                                                                                                            00                43 /Bottle
                                                                                                                                              $     75



ADD-ONS                                                                                            PRODUCT                WHOLESALE                 RETAIL
                                                                                              Ageless Actives               $3900                   $5200
                    IsaWater                                    IsaGreens                     IsaWater                      $2900                   $3900
                                                 IsaFlush
                                                                                              Ionix Supreme                 $3200                   $4300

                                                                                              IsaFlush                      $1700                   $2200

                                                                                              IsaGreens                     $3200                   $4000
Ageless Actives                 Ionix Supreme                                 IsaFruits
                                                                                              IsaFruits                     $3200                   $4200

CLEANSING PRESIDENT’S PAK                                                                          AUTOSHIP
                                                                                                                       WHOLESALE                    RETAIL
1-30-Day, 2 Cleanse, 1 IsaDelight (30 ct), 1 WME canister, 1 IsaFruits,                            REWARDS
1 IsaOmega, 2 IsaLean Soup packets (US), 3 packets IsaLean Shake (CAN.),
1 SlimCakes (US), 2 IsaLean Bars, IsaDermix: Body Wash; Body Polish;
Hand & Body Lotion; Welcome Kit/ Product Catalog, $50 Event Certificate.                                NA                  $54900                       NA


                                                                            BEST
                                                                                                            FREE $39.00 Membership
                                                                          BUSINESS
                                                                           VALUE                               FREE IsaBlender

$39 MEMBERSHIP FEE (ONE YEAR WHOLESALE PRICES, COMPLETE WEBSITE, INCOME OPPORTUNITY). SHIPPING AND TAXES NOT INCLUDED. PRICES ARE IN $ U.S.   JULY 25, 2010

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Improve your health and wealth with Isagenix

  • 1. MEMBERSHIP AND PERSONAL GOALS FORM INDEPENDENT ASSOCIATE TWO WAYS TO PURCHASE ISAGENIX PRODUCTS: 1) Retail: Just want to try the Product ~ no interest in wholesale savings or the business. 2) Wholesale Membership: Interested in long term health benefits, wholesale savings, or the business. $39 Membership Fee (One year wholesale prices, complete website, income opportunity) GET STARTED TODAY ! Personal Info: Name Date Mailing Address Zip/Postal Code Phone (Day) Cell Phone Email Birth Date Soc. Security# or Tax ID# (Not needed for Retail, Preferred Customer, or Canada) Shipping Address (If different from above mailing address) Zip/Postal Code Drop Ship Address (If taking products now) Zip/Postal Code Web Set Up: (at least 6 characters) User Name Example: www.(UserName).isagenix.com Password Health and Wealth Goals: (Optional) 1) On a scale of 1-10 ~ my motivation to improve my health and well-being is 2) My weight goal is to lose pounds and inches in days or week (s) 3) My personal Isagenix® health goal is mainly to be vibrant, energetic, clean and lean 4) On a scale of 1-10 ~ my interest in improving my financial well-being is 5) My financial goal is to earn an additional $ per month in months 6) I’m interested in learning more about the Isagenix Income Opportunity Yes ® No Initial Product Order: Autoship Order: (Your monthly Product choice) Credit or Debit Card Information: Name on Card Card Number Exp. Date CCV# Credit Card Billing Address (if different from above) Zip/Postal Code Jan 25, 2009
  • 2. WHAT DOES THE ISAGENIX® CLEANSE COST 30-DAY PROGRAM PAK (replaces 68 meals) AUTOSHIP WHOLESALE RETAIL REWARDS 2 - Cleanse For Life BEST PRODUCT 4 - Shakes VALUE 1 - Snacks $ 1 - Accelerator Capsules 26000 29900 $ $37400 $382 / Meal $438 / Meal $550/ Meal 1 - Ionix Supreme 1 - IsaFlush 4 - Want More Energy Packets 9-DAY PROGRAM PAK (replaces 26 meals) AUTOSHIP WHOLESALE RETAIL REWARDS 2 - Cleanse For Life 1 - Shake 13000 $ 13900 $ 17400 $ 1 - Snacks $500 / Meal $535 / Meal $669 / Meal 1 - Accelerator Capsules SHAKE AND CLEANSE PAK (replaces 28 meals) AUTOSHIP WHOLESALE RETAIL 2 - Cleanse For Life REWARDS 2 - Shakes 13500 $ 13800 $ 18500 $ 4 / Meal $ 82 $ 934 / Meal 6 / Meal $ 60 TOTAL HEALTH & WELLNESS PROGRAM (replaces 34 meals) AUTOSHIP WHOLESALE RETAIL ( M nt enance) ai REWARDS *1 - Cleanse For Life 2 - Shakes $ 17700 18700 $ $24900 1 - Ionix Supreme $520 / Meal $550 / Meal $732/ Meal 1 - Men’s or Women’s Essentials 1 - Antioxidant CLEANSE STARTER PAK AUTOSHIP WHOLESALE RETAIL 4 - Cleanse For Life REWARDS 12500 $ 12800 $ 17500 $ $ 3125 /Bottle $32 /Bottle 00 43 /Bottle $ 75 ADD-ONS PRODUCT WHOLESALE RETAIL Ageless Actives $3900 $5200 IsaWater IsaGreens IsaWater $2900 $3900 IsaFlush Ionix Supreme $3200 $4300 IsaFlush $1700 $2200 IsaGreens $3200 $4000 Ageless Actives Ionix Supreme IsaFruits IsaFruits $3200 $4200 CLEANSING PRESIDENT’S PAK AUTOSHIP WHOLESALE RETAIL 1-30-Day, 2 Cleanse, 1 IsaDelight (30 ct), 1 WME canister, 1 IsaFruits, REWARDS 1 IsaOmega, 2 IsaLean Soup packets (US), 3 packets IsaLean Shake (CAN.), 1 SlimCakes (US), 2 IsaLean Bars, IsaDermix: Body Wash; Body Polish; Hand & Body Lotion; Welcome Kit/ Product Catalog, $50 Event Certificate. NA $54900 NA BEST FREE $39.00 Membership BUSINESS VALUE FREE IsaBlender $39 MEMBERSHIP FEE (ONE YEAR WHOLESALE PRICES, COMPLETE WEBSITE, INCOME OPPORTUNITY). SHIPPING AND TAXES NOT INCLUDED. PRICES ARE IN $ U.S. JULY 25, 2010