TM ENROLLMENT FORM USERNAME FULL NAME...TM You may cancel your enrollment order within three...

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Yes, I knowledge that I will have a monthly recurring c h a r g e o f $69 (35BV) with the BOS Club Subscription to my order BOS CLUB CONFIRMATION: BOS Founders 20% + 1% BD Protect inside & out $5,069 2535BV CONTENT 1 x Secure Wallet 1 x BD PROTECT Home | Office EMF Protection Kit 1 x BD PROTECT Car EMF Protection Sticker 1 x Valimenta Liposomal Curcumin with Resveratrol 6oz 1 x Valimenta Liposomal Glutathione 2oz 1 x PES Annual 1 x OMA Annual Subscription 1 x BOS Club Subscription 1 x SMA Annual 2 x BD PROTECT EMF Protection Bracelet 2 x tůwTM Smartwatch 4 x BD PROTECT EMF Protection Sticker 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 SSN IDENTIFICATION: DIGITAL + BD PROTECT INSIDE & OUT TAX ID PASSPORT NO. No Yearly Access Fee 30% Off Retail 30% Off Retail & Access to the Financial Rewards Program $39.95 Yearly Access Fee Membership Type: Preferred Customer Brand Ambassador Membership Type: MOBILE PHONE E-MAIL ADDRESS BUSINESS NAME (optional) PASSWORD (minimum 8 alpha-numeric lower/uppercase characters) PIN (4 digits) ZIP / POSTAL CODE CITY 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. USA, SPAIN, AUSTRALIA, CANADA, UNITED KINGDOM, HONG KONG, NETHERLANDS, NEW ZEALAND V7.0.0 20201207 TM You may cancel your enrollment order within three business days from the order date for a refund. To cancel this transaction, submit a cancellation request through the Customer Support Ticketing System found in your ByDzyne Backoffice (www.bydzyne.com/backoffice) or email [email protected] for refund instructions. Please see the Refund Policy on www.bydzyne.com for full details. CANCELLATION OPTION 1 x BD PROTECT EMF Protection Bracelet 1 x Valimenta Liposomal Curcumin with Resveratrol 6oz 1 x Valimenta Liposomal Glutathione 2oz 1 x OMA Monthly Enrollment 1 x BOS Club Subscription 1 x PES - 2 Months CONTENT *L imited to 500 p er country. 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). BOS BUSINESS 20% Digital BOS BASIC 10% Digital BOS BASIC 10% BD Protect inside & out CREDIT CARD NUMBER EXPIRATION DATE (mm / yyyy) SECURITY CODE / CVV2 PAYER FULL NAME same as mailing address ZIP / POSTAL CODE DATE STATE / PROVINCE COUNTRY BILLING ADDRESS CITY PAYER SIGNATURE DATE APPLICANT 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 AGREEMENT I 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 ByDzyne TM Member Agreement at any time, with or without reason, by sending written notice to ByDzyne TM . CREDIT CARD PAYMENT AUTHORIZATION PAYMENT INFORMATION NOTE: For credit card payments, Only VISA and MASTERCARD accepted. Retail Customer BOS Founders 20% + 1% Digital $5,069 2535BV *L imited to 500 p er country. CONTENT 1 x OMA Annual Subscription 1 x BOS Club Subscription 1 x PES 2-Year Plan 1 x SMA 2-Year Plan BOS Business 20% BD Protect inside & out $1069 535BV 1 x SMA Monthly Enrollment 2 x BD PROTECT EMF Protection Sticker $1069 535BV CONTENT 1 x OMA Monthly Enrollment 1 x BOS Club Subscription 1 x SMA Monthly Enrollment 1 x PES Annual $369 185BV CONTENT 1 x OMA Monthly Enrollment 1 x BOS Club Subscription 1 x SMA Monthly Enrollment $369 185BV CONTENT 1 x Valimenta Liposomal Curcumin with Resveratrol 6oz 1 x Valimenta Liposomal Glutathione 2oz 1 x BOS Club Subscription 1 x BD PROTECT EMF Protection Bracelet 2 x BD PROTECT EMF Protection Sticker

Transcript of TM ENROLLMENT FORM USERNAME FULL NAME...TM You may cancel your enrollment order within three...

  • Yes, I knowledge that I wil l have a monthly recurringcharge of $69 (35BV) with the BOS Club Subscription to my order

    BOS CLUB CONFIRMATION:

    BOS Founders 20% + 1% BD Protect inside & out$5,069 2535BV

    CONTENT1 x Secure Wallet1 x BD PROTECT Home | Office EMF Protection Kit1 x BD PROTECT Car EMF Protection Sticker1 x Valimenta Liposomal Curcumin with Resveratrol 6oz1 x Valimenta Liposomal Glutathione 2oz

    1 x PES Annual1 x OMA Annual Subscription1 x BOS Club Subscription1 x SMA Annual2 x BD PROTECT EMF Protection Bracelet

    2 x tůwTM Smartwatch4 x BD PROTECT EMF Protection Sticker

    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:

    DIGITAL + BD PROTECT INSIDE & OUT

    TAX ID PASSPORT NO.

    No Yearly Access Fee30% Off Retail 30% Off Retail & Access to the Financial Rewards Program

    $39.95 Yearly Access FeeMembership Type: Preferred Customer Brand 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.

    USA, SPAIN, AUSTRALIA, CANADA, UNITED KINGDOM, HONG KONG, NETHERLANDS, NEW ZEALAND V7.0.020201207

    TM

    You may cancel your enrollment order within three business days from the order date for a refund. To cancel this transaction, submit a cancellation request through the

    Customer Support Ticketing System found in your ByDzyne Backoffice (www.bydzyne.com/backoffice) or email [email protected] for refund instructions.

    Please see the Refund Policy on www.bydzyne.com for full details.

    CANCELLATION OPTION

    1 x BD PROTECT EMF Protection Bracelet1 x Valimenta Liposomal Curcumin with Resveratrol 6oz1 x Valimenta Liposomal Glutathione 2oz1 x OMA Monthly Enrollment1 x BOS Club Subscription1 x PES - 2 Months

    CONTENT

    * BV = Business Volume

    *Limited to 500 per country.

    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).

    BOS BUSINESS 20%Digital

    BOS BASIC 10% Digital

    BOS BASIC 10% BD Protect inside & out

    CREDIT CARD NUMBER

    EXPIRATION DATE (mm / yyyy)

    SECURITY CODE / CVV2

    PAYER FULL NAME

    same as mailing address

    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 AGREEMENT

    I 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.

    Retail Customer

    BOS Founders 20%+ 1% Digital $5,069 2535BV

    *Limited to 500 per country.

    CONTENT1 x OMA Annual Subscription1 x BOS Club Subscription1 x PES 2-Year Plan1 x SMA 2-Year Plan

    BOS Business 20%BD Protect inside & out $1069 535BV

    1 x SMA Monthly Enrollment2 x BD PROTECT EMF Protection Sticker

    $1069 535BVCONTENT

    1 x OMA Monthly Enrollment1 x BOS Club Subscription1 x SMA Monthly Enrollment1 x PES Annual

    $369 185BV

    CONTENT1 x OMA Monthly Enrollment1 x BOS Club Subscription1 x SMA Monthly Enrollment

    $369 185BVCONTENT

    1 x Valimenta Liposomal Curcumin with Resveratrol 6oz1 x Valimenta Liposomal Glutathione 2oz1 x BOS Club Subscription1 x BD PROTECT EMF Protection Bracelet

    2 x BD PROTECT EMF Protection Sticker

    Preferred Customer: OffBrand Ambassador: OffRetail Customer: OffBOS Founders 20 1: BOS Founders 20: OffBOS BUSINESS 20: OffBOS BASIC 10: OffBOS Business 20: OffBOS BASIC 10_2: OffBOS CLUB CONFIRMATION: OffDATE: DATE_2: 3: PASSWORD: 2: First Name: IDENTIFICATION: undefined: Offundefined_2: Offundefined_3: OffFirst Name2: BUSINESS NAME optional: MAILING ADDRESS: MOBILE PHONE: 1: PIN: Full Name: username: Email Address: CITY: Last Name: Middle Name: Middle Name2: Last Name2: STATE: COUNTRY: ZIP: PAYER FULL NAME: CREDIT CARD NUMBER: BILLING ADDRESS: same as billing address: OffEXPIRATION DATE mm yyyy: CITY pymt: SECURITY CODE CVV2: STATE pymt: COUNTRY pymt: ZIP pymt: