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ASSOCIATE ORDER FORMENROLLMENT PACKS
� All-Star Navig8 Product Pack • 134101
The foundational start of your new business:
• Enough of our core products for yourself and your first Xtreme Food Makeover
• Three months of: ◊ Our turnkey Navig8 Global™ business system◊ Our Gold Success Tracker™ business
reporting software◊ Your own MannaPages™ ecommerce Web page
• Immediate access to every part of the Mannatech Compensation Plan (All-Star level)
� All-Star Navig8 Business Pack • 134301
Everything the successful Associate needs to jumpstart their new business—at the best price!
• The perfect amount of our core products for yourself and your own Xtreme Food Makeover events.
• One year of: ◊ Our turnkey Navig8 Global business system◊ Our Gold Success Tracker business reporting software◊ Your own MannaPages ecommerce Web page
• Immediate access to every part of the Mannatech Compensation Plan (All-Star level)
� Basic NutriVerus Pack • 133101Your Xtreme Food Makeover starts here, with nutrition the way your body wants it.
� Basic Optimal System Support Pack • 133201Real-food nutrition for your body’s core systems.
� Associate Registration Pack • 134001 • One Canister of NutriVerus™ Powder (150 g) • $48
Become a Mannatech Associate and start earning income and rewards for selling Mannatech products and sharing the opportunity!
CHOOSE YOUR ENROLLMENT PACK—EACH ONE COMES WITH OUR ASSOCIATE WELCOME KIT, A SET OF TOOLS DESIGNED TO HELP YOU SHARE MANNATECH’S PRODUCTS AND OPPORTUNITY!
$998A value of over $1,442
$98A value of over $136
$98A value of over $131
$498A value of over $612
Item Number:1381301 16205.0912
©2012 Mannatech, Incorporated. All rights reserved. For distribution in the U.S. only.
Ambrotose, Advanced Ambrotose, Mannatech, MannaPages, NutriVerus, OsoLean, PLUS and Stylized M Design are trademarks of Mannatech, Incorporated.
Navig8 Global is a trademark of Navig8.Biz Pty Ltd. Used with permission.
ASSOCIATE ORDER FORMAUTO ORDERS
*These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure or prevent any disease.
� NutriVerus Integrative Health Combo–Ambrotose® • 63501
� NutriVerus Integrative Health Combo–Advanced Ambrotose® • 63601
THE ULTIMATE INTEGRATIVE HEALTH SUPPORT.*
Provides all the benefits of NutriVerus powder, plus it...
• Supplies increased immune system support*†
• Supports digestive function*†
• Improves memory and cognitive function*†
•Offers support for breast, prostate, colon and bone health*†
• Supplies ultra-pure omega-3 fatty acids
� Optimal System Support* Bundle • 61901
REAL-FOOD NUTRITION FOR YOUR BODY’S CORE SYSTEMS.
Offers all the benefits of NutriVerus powder, plus it...
• Provides ultra-pure Omega-3 fatty acids
• Supports cardiovascular and brain health*†
• Supports bone health*†
� Two Canisters of NutriVerus Powder • 34301
NUTRITION THE WAY YOUR BODY WANTS IT.*
• Supports cell-to-cell communication*
•Offers antioxidant and immune system support*
• Supports brain health*
� Lean Body* Bundle • 71701
THE XTREME FOOD MAKEOVER FOR ENHANCED FAT LOSS.*‡
Delivers all the benefits of NutriVerus powder, plus it...
•Helps you lose the fat, keep the lean*‡
• Promotes fat loss*‡
•Helps support lean muscle*‡
•Helps you feel full*‡
$11093A value of over $123
$148 05A value of over $164
$10710A value of over $118
$189 00A value of over $245
‡When combined with the OsoLean® Plan and proper exercise.
†Results vary by product.
SAVE 10% EVERY FOUR WEEKS WHEN YOU PLACE AN AUTOMATIC ORDER.
© 2012 M
annatech, Incorporated. A
ll Rights Reserved. 1801501.0912 Page 2 of 3
Application Form
–Associate
4 Payment In
formation
please co
mplete a
nd sig
n
NO
TE: For your protection, Mannatech reserves the right to hold credit card orders for address verification.
Declined credit card orders w
ill be held for authorization for 28 business days. If we are unable to obtain an
authorization we w
ill cancel the order . ca
sh m
on
ey ord
er ch
eck no.______________________
visa ® m
asterca
rd ® d
iscover ®
a
merica
n express®
If applicant is interested in having payment for A
utomatic o
rder debited from a
checking account, please complete a d
irect debit Form
(see Mo
d 1801701) and m
ail w
ith this Application.
cREd
It cA
Rd n
uM
bER
exp. date
XAc
co
un
tho
LdER sIg
nAtu
RE d
AtE
Ac
co
un
tho
LdER n
AM
E PRIntEd
Ac
co
un
tho
LdER bILLIn
g A
dd
REss
3 Auth
orization yo
ur sig
natu
re is requ
ired
By signing below I apply to become an Associate with M
annatech, Incorporated, and agree to abide by the term
s and conditions as stated on page three of this document.
X________________________________________________________________
sIgn
AtuRE o
F APPLIc
An
t d
AtE
I grant my perm
ission for the minor applicant nam
ed above to participate, jointly with me, as
an Independent Associate. (This statement applies to m
inor applicant only.)
X________________________________________________________________
sIgn
AtuRE o
F co-A
PPLIcA
nt
dAtE
for o
ffice u
se on
ly/a
ccou
nt n
um
ber
Ap
plicant Pack o
ption c
ost
State&LocalSalesTax%
+A
ll-Star Pack Shipping: PRIoRItY–$20.00
, nEX
t dAY A
IR–$30.00
Basic/Assoc. Reg. Pack Shipping: PRIo
RItY–$12.75 , n
EXt d
AY AIR–$22.50
ToTA
L AM
oU
nT d
Ue W
ITH A
PP
LIcA
TIon
2 Yes, I w
ant to save 10%! ‡
Please bill and ship my A
utomatic o
rder beginning
MONTh DAy yeAR
Autom
atic ord
erAuto
ordercode
product descriptionprice
QtytotAl
34301NutriVerus powder
$53.552
61901Optim
al System Support Bundle
$110.9371701
Lean Body Bundle$148.05
63501NutriVerus Integrative Health Com
bo – Ambrotose
$189.0063601
NutriVerus Integrative Health Combo – Advanced Am
brotose$189.00
subto
tAL
state & Local sales tax
ground–$6.99
Priority–$9.99Sh
ipp
ing
& H
and
ling
(Minim
um $6.99)
Yo
UR
AU
ToM
AT
Ic o
Rd
eR To
TAL=
Order shipped and charged every 4 weeks. Credit card and check withdrawal onlyI understand that the Associate Autom
atic Order is optional and will con tinue until the M
annatech corporate office receives either m
y written or verbal notification, by calling (800) 281-4469, requesting cancellation.
X
sIg
nAtu
RE oF A
PPLIcA
nt
dAtE
1 Join
the M
ann
atech Fam
ilyIstheapplicantovertheageof18?
yeS NO
Iftheapplicantisundertheageof18,completeandreturnConsentForm
forMinorChildrenw
iththeapplication.GototheResourceLibrary(Library.M
annatech.com/54).
choose your A
ssociate Pack. (Please check only one.)
All-Star Navig8 Business Pack 134301
$998 All-Star Navig8 Product Pack
134101 $498
All-Star Custom Product Pack
112501 $498
Basic NutriVerus Pack 133101
$98 Basic Custom
Pack 123801
$98 Basic Optim
al System Support Pack
133201 $98
Associate Registration Pack 134001
$48
5 Associate In
formation
TAX
I.d. n
UM
BeR
:SSN
FeD. IDTRuST TAx I.D.
BeNeFICIARy TAx I.D. (IF TRuST TAx I.D. IS NOT AVAIlABle)
LAst n
AM
E
FIRst nA
ME (n
AM
E Is REqu
IREd Fo
R PRoc
EssIng
)
busIn
Ess nA
ME
so
LE PRoPRIEto
RshIP
tRust
PARtn
ERshIP
coRPo
RAtIon
PLEAsE n
otE: If trust, corporation or partnership account, the M
annatech Online D
ocuments 1806301
and 1806401 must accom
pany this application.
LAn
gU
Ag
e PR
eFeRen
ce
En
gLIsh
FREn
ch
sPA
nIsh
5 Asso
ciate Inform
ation (contin
ued
)
“ma
il to” in
form
ation
stREEt Ad
dREss (u
sE thIs LIn
E An
d th
E LInE bELo
W IF M
oRE sPA
cE Is n
EEdEd
)
stREEt Ad
dREss co
ntIn
uEd
(IF nEc
EssARY)
cItY
stAtEZIP
+d
AY tELEPho
nE
FAX
EvEnIn
g Ph
on
E
E-MA
IL Ad
dREss (PLEA
sE PRInt)
“sh
ip to” in
form
ation (if d
ifferent fro
m “m
ail to”)
stREEt Ad
dREss (u
sE thIs LIn
E An
d th
E LInE bELo
W IF M
oRE sPA
cE Is n
EEdEd
)
stREEt Ad
dREss co
ntIn
uEd
(IF nEc
EssARY)
cItY
stAtEZIP
+
6 spo
nso
r info
rmatio
nM
ust bE FILLEd
ou
t PRIoR to
subM
IssIon
to M
An
nAtEc
h.
Acco
un
t nu
MbER
Or
Int’L A
PPLIcAtIo
n I.d
. nu
MbER
u.s. ssn
oR FEd
. Id. n
uM
bER O
r sIn
oR bu
sInEss n
uM
bER
cou
ntRY
LAst n
AM
E
FIRst nA
ME
6 en
roller in
form
ation
the Enroller and sponsor may be the sam
e person, or the Enroller may place the new
Associate under another
sponsor in his/her sales organization. neither the sponsor nor the Enroller receives any bonus, paym
ent or other benefit from
the recruitment of a new
Associate.
Acco
un
t nu
MbER
Or
Int’L A
PPLIcAtIo
n I.d
. nu
MbER
u
.s. ssn o
R FEd. Id
. nu
MbER
Or
sIn o
R busIn
Ess nu
MbER
cou
ntRY
LAst n
AM
E
FIRst nA
ME
tELEPho
nE
dAY
tIME
EvEnIn
g
© 2012 M
annatech, Incorporated. A
ll Rights Reserved. 1801501.0912 Page 3 of 3
1. Upon acceptance of this application by Mannatech, Incorporated ("Mannatech" or "Com
pany") and the issuance of an account num
ber, I am authorized as an Associate as of the date of this Associate Application & Agreem
ent. The term of
this agreement is one year.
2. As an Independent Associate, I m
ust submit a valid tax identification num
ber (or its equivalent) before being issued a Com
pany Account Number.
The Com
pany is not responsible for withholding, and shall not withhold or deduct from m
y bonuses and comm
is-sions, if any, FICA or taxes of any kind, unless such withholding becom
es legally required. I agree to be bound by all sales tax collection agreem
ents between the Company and all appropriate taxing jurisdictions, and all related
rules and procedures.
3. I understand that as an Independent Associate:
a. I have the right to purchase products and services from
the Company at Associate cost.
b. I have the right to offer for sale M
annatech products and services in accordance with these Terms and Conditions.
c. I have the right to register persons in M
annatech.
d. I am
an Independent Contractor and not an employee, agent, partner, legal representative or franchisee of
Mannatech. I am
not authorized to and will not incur any debt, expense or obligation or open any checking account on behalf of, for, or in the nam
e of the Company. I agree that I will be solely responsible for paying
all expenses that I may incur, including but not lim
ited to travel, food, lodging, secretarial, office, long distance telephone and other expenses. I UNDERSTAND THAT I SHALL BE TREATED AS AN INDEpENDENT CONTRACTOR OF M
ANNATECH FOR ALL pURpOSES, INCLUDINg FOR FEDERAL OR STATE TAX pURpOSES.
e. I will develop and service personal custom
ers as stated in the Mannatech Com
pensation plan. I will use the Retail Sales Invoice (M
annatech Online Document 1805901) provided by the Com
pany, which outlines the date of the sale, the nam
e and address of the merchant, buyer’s right to cancel statem
ent (part of these Term
s and Conditions), and address where the buyer can send the cancellation notice for the sale of M
annatech products. I understand that I must keep accurate records of retail sales, and that the Com
pany m
ay periodically ask me to provide docum
entation of such sales to the Company.
f. I will use only the sales contracts and order form
s that are provided by the Company for the sale of its
products, and I will follow all policies and procedures established by the Company for the com
pletion and processing of such contracts and orders.
g. I will use only Company-approved prom
otional materials when representing the Com
pany, offering the business opportunity, com
pensation plan, training other Associates and/or making representations as to
the products. I agree to present the Mannatech Com
pensation plan and Mannatech products and services,
as set forth in official Company literature. I will m
ake no claims, statem
ents, disclosures, representations or warranties regarding potential incom
e, earnings, products, or services that are not printed in the Company’s
literature in either selling the products or in meeting with prospective Associates.
h. In order to be eligible to receive bonuses and com
missions, I will order only enough products for a four-week
period to reasonably fill my needs and/or I will resell at least 70%
of all products or services that I purchase from
Mannatech. All products purchased will be for sale to or use by an end-consum
er, and I will not purchase any products or services solely for the purpose of qualifying for overrides, com
missions or bonuses.
i. If I fail to annually renew m
y Mannatech Associateship, I understand that I will lose certain rights as an
Independent Associate, including rights to my downline organization, bonuses and com
missions pursuant to
the Mannatech Com
pensation plan until such time that I have renewed m
y position in accordance with the term
s of the then-current Compensation plan.
4. I m
ay not assign any rights or delegate my duties under this Agreem
ent without the prior written consent of the Com
pany. Any attempt to transfer or assign this Agreem
ent without the express written consent of the Com
pany renders this Agreement voidable at the option of the Com
pany and may result in term
ination of this Agreem
ent.
5. I will com
ply with all federal, state, county and municipal laws, ordinances, rules and regulations and will m
ake all reports and rem
it all withholdings or other deductions as may be required by any federal, state, county or
municipal law, ordinance, rule or regulation.
6. This Associate Application Agreem
ent, inclusive of the Associate policies and procedures and Mannatech
Compensation plan (”Agreem
ent”)‚ constitutes the entire contract between Mannatech and m
e. Any promises,
representations, offers or other comm
unications not expressly set forth in this Agreement are of no force or
effect. To the extent of any conflict or inconsistency between this Agreement and any other agreem
ent (other than the policies and procedures), this Associate Application and Agreem
ent shall supersede and prevail over any term
of any other agreement as to the m
atters addressed herein. To the extent of any conflict or inconsis-tency between this Agreem
ent and the policies and procedures (in their current form or as subsequently m
odi-fied), the policies and procedures shall in all instances supersede and prevail over any term
of this Agreement
as to the matters addressed herein.
7. I agree to carefully READ and COM
pLY with the Mannatech Associate policies and procedures and the M
annatech Com
pensation plan, both of which are incorporated into and made a part of this Agreem
ent. I understand that these Term
s and Conditions, the Mannatech policies and procedures, or the M
annatech Compensation plan (all
of which are collectively referred to as the “Agreement”) m
ay be amended from
time to tim
e, and I agree that any revisions or am
endments shall becom
e binding for me upon the publication of such revisions on M
annatech Online Docum
ents or as officially announced in any Company com
munication. The continuation of m
y Mannatech
Associateship or my acceptance of bonuses or com
missions shall constitute m
y acceptance of this Agreement,
and any and all amendm
ents. I understand that I must be in good standing, and not in violation of any of the
terms of this Agreem
ent, in order to be eligible to receive any bonuses or comm
issions from M
annatech. I understand that I shall control the m
anner and means by which I operate m
y Mannatech business, subject to m
y com
pliance with the Agreement. In the event that a provision of this Agreem
ent is held to be invalid or unenforce-able, such provision shall be reform
ed only to the extent necessary to make it enforceable, and the balance of the
Agreement will rem
ain in full force and effect.
8. To the extent perm
itted by law, the Company, its directors, officers, shareholders, em
ployees, assigns and agents (collectively referred to as “affiliates”) shall not be liable for, and I release the Com
pany and its affiliates from and
waive, all claims for any loss of profits, indirect, direct, special or consequential dam
ages or any other loss incurred or suffered by m
e as a result of: (a) my breach of this Agreem
ent or the Mannatech policies and procedures; (b)
the promotion or operation of m
y Associateship and any activities related to it (e.g., the presentation of Mannatech
products or Compensation plan, the operation of a m
otor vehicle, the lease of meeting or training facilities, etc.);
(c) any incorrect or wrong data or information provided by m
e; or (d) the failure to provide any information or data
necessary for Mannatech to operate its business, including without lim
itation, my registration and acceptance into
the Mannatech Com
pensation plan or the payment of com
missions or bonuses. I agree that the entire liability of
the Company and its affiliates for any reason whatsoever related to the relationship between m
e and the Company,
including, but not limited to, any cause of action in contract, tort or equity, shall not exceed and shall be lim
ited to the value of the products I have purchased from
the Company under this Agreem
ent or any other agreement that
are in resalable condition.
9. This Agreem
ent will be governed by and construed in accordance with the laws of the State of Texas. Except as set forth in the M
annatech policies and procedures, all disputes and claims relating to the Agreem
ent, the Com
pany, the Application, or its products and services, the rights and obligations of an Independent Associate or the Com
pany under the Agreement shall be settled totally and finally by arbitration in Dallas, Texas, or such other
location as the Company prescribes, in accordance with the Federal Arbitration Act and the Com
mercial Arbitration
rules of the American Arbitration Association. If an Associate files a claim
or counterclaim against the Com
pany, an Associate shall do so on an individual basis and not with any other Associate or as part of a class action. The decision of the arbitrator shall be final and binding on the parties and m
ay, if need be, be reduced to a judgment
in any court of competent jurisdiction. This agreem
ent to arbitrate shall survive any termination or expiration of the
Agreement.
notice of cancellation
you, the buyer, may CANCel this transaction, w
ithout any penalty or obligation, at any time prior to
midnight of the ThIRD BuSINeSS DAy after the date of this transaction. If you cancel, any property traded
in, any payments m
ade by you under this contract or sale, and any negotiable instrument executed by you
will be returned w
ithin TeN BuSINeSS DAyS following receipt by the seller of your cancellation notice, and
any security interest arising out of the transaction will be cancelled. If you cancel, you m
ust make available
to the seller at your residence, in substantially as good condition as when received, any goods delivered to
you under this contract or sale, or you may, if you w
ish, comply w
ith the instructions of the seller regarding the return shipm
ent of the goods at the seller’s expense and risk. If you do make the goods available to the
seller and the seller does not pick them up w
ithin 20 days of the date of your Notice of Cancellation, you m
ay retain or dispose of the goods without any further obligation. If you fail to m
ake the goods available to the seller, or if you agree to return the goods to the seller and fail to do so, then you rem
ain liable for perform
ance for all obligations under the contract. To cancel this transaction, mail or deliver a signed
and dated copy of the Cancellation Notice or any other written notice, to the address in this contract NOT
lATeR ThAN MIDNIGhT of the Third Business Day after the date of this transaction. you m
ust give notice of cancellation by a m
ethod that will allow
you to prove that you gave notice, including registered mail, fax
or by personal delivery. By signing below, you agree that you have read and understand the statements
above and the requirements of M
annatech regarding accuracy of representations regarding its products, the Policies and Procedures and M
annatech Compensation Plan (“Agreem
ent”).
X _______________________________________________________SIgNATURE OF AppLICANT
X _______________________________________________________SIgNATURE OF CO-AppLICANT
DATE___________________________________
ApplicationForm
–U.S.AssociateTerm
sandConditions
Mannatech, Incorp
orated600 s. Royal Lane, suite 200c
opp
ell, tX 75019
(800) 281-4469
for o
ffice u
se on
ly/a
ccou
nt n
um
ber