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1992-04-10
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4KB
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75 lines
POWERVISION ASSOCIATE APPLICATION AND AGREEMENT
___________________________________ ____________________ ____ ___________________________
LAST NAME-APPLICANT FIRST MIDDLE SOCIAL SECURITY NUMBER
___________________________________ _____________________ ____ ___________________________
LAST NAME-CO-APPLlCANT(if any) FIRST MIDDLE FED. I.D. NUMBER
________________________________________________ _____________________ D l~ulllber Only ~h ~
STREET ADDRESS HOME PHONE This is youyr POWERVISION
I.D. Number. Only this I.D.
Number is to be used when submitting
_________________________________________ _____________________ POWERVISION subscription and sponsoring
CITY/TOWN BUSINESS PHONE Associates.
_________________________________________ _____________________
REGULAR OCCUPATION STATE ZIP CODE
I hereby apply to become an Associate of POWERVISION, Inc. ("PV") upon and subject to the following terms and
conditions:
1. I shall become a PV Associate upon acceptance of this application by PV. As a PV Associate I shall have the right to sell
PV subscriptions and to sponsor new PV Associates in accordance with and subject to all provisions of this Associate
Application and Agreement.
2. I have read and understood the front and back of this Application and Agreement.
3. I agree to abide and be bound by all of the provisions of this Application and Agreement.
4. PV has the right to amend this Application and Agreement.
5. PV will not have any express or implied obligation or liability to any PV Associate except as specifically set forth in this
Agreement.
_______________________________________________________________________________________________________________________________
SIGNATURE OF APPLICANT DATE
_______________________________________________________________________________________________________________________________
SIGNATURE OF CO-APPLICANT (if any) DATE
Centracchio Bob P 039-34-2026
______________________________________________________________________________________________________________________________
SPONSOR LAST NAME FIRST MIDDLE SOCIAL SECURITY NUMBER
P.O. BOX 19441 Johnston OR
_____________________________________________________________________________
STREET ADDRESS CITY TOWN FED. I.D.
RI 02919
_____________________________
STATE ZIP CODE
Accepted for: POWERVISION, Inc.
11199 Sorrento Valley Rd., Suite L
San Diego, CA 92121 Initial Supply Order
By:___________________________ Product Brochures @ .54 ea.=_____
Subscription Agreements @ .22 ea.=_____
Date:_________________________ Multi-level Brochures @ 18 ea = _____
Associate Apphcatlons @ .26 ea.=_____
Disk Demo (3 Disks) @7.00 ea.=_____
Tapes: video & audio @7.95 ea.=_____
Buttons @ .32 ea.=_____
Starter Kit @$49. ea.=
Shipping & Handling $3.00
Total (Calif. residents add 7% tax) _____
Mail first two copies to POWERVISION, third copy to Sponsor and fourth to new Associate.