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