REPRESENTATIVE APPLICATION
Select Your Membership
❒ Basic Membership
❒ Pro Membership
❒ Elite Membership
$39
$399
$999
INCLUDES:
INCLUDES EVERYTHING IN THE BASIC MEMBERSHIP, PLUS:
INCLUDES EVERYTHING IN THE MAIN PRO MEMBERSHIP, PLUS:
Welcome Kit
Wholesale pricing
FREE PWP*, 1st month
1 ALERT 32oz, 1 ALERT Sample Kit, 4 CORE, 2 RESTORE
400 CV plus Automatic promotion to QCMR
Retail Bonuses
Revenue Sharing Opportunities
Team Override Opportunities
Local, Online and Conference Call Trainings
Additional Products: 1 RUN, 1 Van LESS, 1 Luminus Skin
Restore, 1 Luminus Foaming Cleanser
Additional 600 CV (total 1,000 CV)
2 FREE tickets to 2016 NuConference ($358 value)
Up to 12 months PWP ($300 value)
* PWP is $24.95 monthly thereafter,
or free when Qualified.
Information
Name
Date of Birth
Address
City
Home Phone
Cell Phone
Email
SSN/TX ID#
Business Name (Optional)
http://www.nussentials.com/
State
Zip
Enter desired Personal Web Page (PWP) name
A Representative may participate in the company’s compensation program provided all
qualifications are met according to the terms, conditions and the Representative cooperative
marketing understanding. It is my complete understanding that Nussentials Corporation is
a Cooperative Marketing company offering Optional Products to Representatives who will
retail those products to end users. No promise of income or revenue has been represented
to me, or perceived by me, for the purchase of Optional Wholesale Products. I agree that no
commissions are paid on the recruitment of Representatives at any time, for any reason. I agree
that Representatives enter as independent representatives (independent contractors who will be issued IRS 1099Misc annual earning statements and be solely
responsible for Federal, State & Local tax obligations) in the Nussentials field sales organization.
❒ I agree that I have read and understand the Terms & Conditions Agreement included with this document. I also understand that I may cancel my participation in
the Cooperative Marketing plan offered by Nussentials Corporation at any time by requesting cancellation in writing to the office at: PO Box 310, Cypress, TX 77410-0310.
Signature
Date
Credit Card Information
❒ Visa ❒ Master Card ❒ AmEx ❒ Discover
Name on Card
Security Code
Billing Address
Card Number
Cardholder Signature
City, State, Zip
Exp. Date
/
/
By signing, I authorize Nussentials to initiate electronic debits/credits to my debit or credit card account. This authority will remain in effect until I notify the company
otherwise. I agree that shipping, handling, tax & total charges may vary from those entered above. I agree that prices used for this order will be the current prices posted
at www.nussentials.com and may vary from the prices on this form. I agree that any products selected on this form will ship monthly until I modify or cancel this order.
PO Box 310 Cypress, TX 77410-0310 I Fax 281-605-5441 I nussentials.com
MRA-V314
Terms and Conditions
I am of legal age in the state of my residency. I agree that I am
monthly communication and support to those Representatives
an independent contractor, responsible for determining my own
in my Commissionable down-line by the way of the following, or
business activities and not an agent or employee of the Company.
combination thereof: Personal contact, telephone communication,
I am responsible for the payment of all federal and state self-
written
employment taxes and any other tax required under any federal,
meetings. h. NUSSENTIALS provides the following fulfillment to its
state or regulatory taxing agency. This position does not constitute
Representatives: Electronic transfer of products within ten days of
the sale of a franchise or of a Membership and no fee, sales aids
receipt of order and clearance of funds, subject to availability of
or services purchase or initial wholesale product purchase has been
items ordered. Payment terms on Representative purchases: credit
required of me for participation as a Representative. I agree that as
card, money order or cashier check, with order. Commissions are
a NUSSENTIALS Representative, I shall place primary emphasis upon
payable to Representatives according to the Compensation Plan
the selling of Company products to non-Representative ultimate
which is incorporated herein by reference. NUSSENTIALS may require
consumers. Members resident in the states of Maine, North Dakota,
an annual renewal fee. i. I will not make false or misleading or
Michigan, Indiana, Iowa and West Virginia are limited to $495.00
disparaging statements about NUSSENTIALS Representative positions
in purchases as a Representative from the Company during the
or Company products. Display of commission checks, the making of
first six months of Representative status. Permissible Representative
income projections and use of Representative income testimonials
purchases shall be automatically modified to comply with the
to prospective Representatives is prohibited. I will conduct myself
exemption requirements set forth in any state’s laws regulating
as a Representative in a courteous, fair and ethical manner. j.
business opportunities. In presenting NUSSENTIALS products I agree
Representatives in the same household MAY have the same sponsor.
that such presentations shall be strictly according to the following
Change of original sponsor is not permitted. Representative and
format and that I will be terminated as a Representative if I fail to do
customer lists and names are owned by Company and may never
so. a. In each presentation of the Representative position the prospect
be used for any commercial or business purpose without prior
shall be directly informed that no fee or retail purchase is required
written consent of Company. k. This Agreement is governed under
to become NUSSENTIALS Representative. b. I agree that I shall sell
the laws of the State of Texas. The parties agree that any claim,
the majority of my product sales (over 50%) to non-Representative
dispute or other difference between them shall be exclusively
consumers. Retail sales records shall be maintained and subject
resolved by binding arbitration pursuant to the Commercial Rules
to review and verification upon Company request. c. In order to
of the American Arbitration Association with arbitration to occur at
maintain a viable Marketing Program and to comply with changes to
Houston, Texas. Louisiana Representatives arbitrate at New Orleans.
federal, state or local laws in economic conditions, NUSSENTIALS may
I understand that the products purchased from NUSSENTIALS are
provide additional Terms and Conditions for Representatives from
manufactured and shipped from various locations worldwide
time to time, as well as to modify its Representatives Compensation
and accept shipping delays beyond the control of NUSSENTIALS.
Program. Such Policies and Procedures and Compensation Plan
NUSSENTIALS will make its best efforts to have all paid in full orders
modifications, and all changes thereto, shall become a binding
shipped within thirty (30) days from the date of order and payment. In
part of this Agreement upon publication on the official NUSSENTIALS
order to maintain a viable marketing program NUSSENTIALS reserves
Web site or other official Company publication. d. I understand that
the right to modify its compensation plan from time to time, and a
no Attorney General or other regulatory authority ever registers or
thirty day (30), non-internet accessible literature, sales and wholesale
reviews, endorses or approves any product, compensation program
products, are subject to return and 90% refund within 30 days of
or company, and I will make no such claim to others. e. I understand
purchase. (1 year New Mexico and Montana, purchases within 1
that my Representative position can be inherited or bequeathed,
year prior to termination of Representative status Wyoming. Georgia
but cannot be transferred or assigned during my lifetime without
no time limitation. Massachusetts no time limitation as to Wholesale
written consent of the Company which consent will not be
Purchases made for commission qualification.) MY SIGNATURE ON
unreasonably withheld. This Agreement shall be in effect upon its
THIS APPLICATION VERIFIES MY COMPLETE UNDERSTANDING & TOTAL
receipt and acceptance by NUSSENTIALS CORP. g. I am responsible
ACCEPTANCE OF ALL THESE TERMS & CONDITIONS AS WELL AS THOSE
for supervising and supporting Representatives I sponsor into the
POSTED ON THE NUSSENTIAILS WEB SITE.
communication,
and
program and in my commissionable down-line. I agree to maintain
PO Box 310 Cypress, TX 77410-0310 I Fax 281-605-5441 I nussentials.com
attendance
at
Representative