MAILING ADDRESS

ENROLLMENT FORM

USERNAME (please include 3 options, minimum 3 letters)

PLEASE PRINT CLEARLY. Fill out this form completely.

FIRST NAME MIDDLE NAME

FIRST NAME MIDDLE NAME LAST NAME

LAST NAME

1. 2. 3.

USERNAME FULL NAME

SSNIDENTIFICATION:

PANAMA

TAX ID PASSPORT NO.

No Yearly Access Fee30% Off Retail30% Off Retail & Access to the Financial Rewards Program

$19.95 Yearly Access FeeMembership Type: Preferred CustomerBrand AmbassadorMembership Type:

MOBILE PHONE

E-MAIL ADDRESS

BUSINESS NAME (optional)

PASSWORD (minimum 8 alpha-numericlower/uppercase characters)

PIN (4 digits)

ZIP / POSTAL CODECITY STATE / PROVINCE COUNTRY

MEMBERSHIP & MEMBER KIT

ACCOUNT INFORMATION

YOUR SPONSOR

NOTE: All prices displayed are in USD. S&H and taxes are not included.

NOTE: Actual Kit contents may change slightly.

PANAMA V6.0.020200619

TM

$219 110BV SMA MONTHLY 10%

$299.95 100BV PES MONTHLY 10%

SMA ANNUAL 20%$1,500 750BV

PES ANNUAL 15%$649.95 300BV

1 x SMA Monthly **

CONTENT

1 x PES Monthly ***

CONTENT

FOUNDERS KIT 20%$4,999.95 2500BV

CONTENT1 x PES Monthly ***1 x OMA Monthly ****1 x OMA 15-License Bundle1 x SMA 2-Year Plan4 x tůw Smartwatch

NOTE: ** With the purchase of Smart Market Academy, there will be a Monthly recurring fee (US$119 per month). *** With the purchase of Premier ECO Subscription, there will be a Monthly recurring fee (US$37.95 per month).**** With the purchase of Online Marketing AI, there will be a Monthly recurring fee (US$87 per month).

GOLD DIGITAL KIT 20%$1,099.95 500BV

CONTENT1 x OMA Monthly ****1 x SMA Monthly **1 x PES Annual1 x tůw Smartwatch

BENEFITSReceive an Extra Share in the Global Pool Vault for LIFEQualify for 20% Team Volume Commissions (TVC) %

*Limited to 500 per country.

ADD PRODUCTS

CREDIT CARD NUMBER

EXPIRATION DATE (mm / yyyy)

SECURITY CODE / CVV2

PAYER FULL NAME

same as mailing address

Credit Card Other

ZIP / POSTAL CODE

DATE

STATE / PROVINCE COUNTRY

BILLING ADDRESS

CITY

PAYER SIGNATURE

DATEAPPLICANT SIGNATURE

CO-APPLICANT

APPLICANT

I hereby authorize for my credit card to be charged for the cost of my initial order as reflected on this application, as well as any and all future orders I place, including any applicable taxes and Shipping & Handling fees. By signing below, I agree for my credit card to be charged.

APPLICANT AGREEMENTI have read and agree to be bound by the Agreement (which includes the Privacy Policy, Terms Of Use, Return Policy, Compensation Plan, and Policies & Procedures). I certify that I am 18 years old and legally able to enter into the Agreement. I understand that I have the right to terminate my ByDzyneTM Member Agreement at any time, with or without reason, by sending written notice to ByDzyneTM.

CREDIT CARD

PAYMENT AUTHORIZATION

PAYMENT INFORMATION NOTE: For credit card payments, Only VISA and MASTERCARD accepted.

tůw Smartwatch

OMA Annual Subscription

OMA Monthly ****

SMA Annual

SMA Monthly **

PES Annual

PES Monthly ***

QTY:MEMBER

PRICEBV

$199

$1044

$87

$1500

$219

$649.95

$299.95

100

360

30

750

110

300

100

BVSUB-TOTAL:

MEMBERSUB-TOTAL:

$$$

$

$$

TOTALTOTAL BV TOTAL PRICE

$$$