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Text File  |  1992-04-10  |  4KB  |  75 lines
  1. POWERVISION ASSOCIATE APPLICATION AND AGREEMENT
  2.  
  3. ___________________________________    ____________________        ____    ___________________________       
  4. LAST NAME-APPLICANT                     FIRST               MIDDLE         SOCIAL SECURITY NUMBER
  5.  
  6. ___________________________________    _____________________       ____    ___________________________
  7.  
  8. LAST NAME-CO-APPLlCANT(if any)          FIRST               MIDDLE             FED. I.D. NUMBER
  9.  
  10. ________________________________________________  _____________________                                                                          D l~ulllber Only ~h ~
  11. STREET ADDRESS                                    HOME PHONE               This is youyr POWERVISION
  12.                                                                            I.D. Number.  Only this I.D.
  13.                                                                            Number is to be used when submitting
  14. _________________________________________         _____________________    POWERVISION subscription and sponsoring
  15. CITY/TOWN                                         BUSINESS PHONE           Associates.
  16.  
  17. _________________________________________         _____________________
  18. REGULAR OCCUPATION                                STATE ZIP CODE
  19.  
  20. I hereby apply to become an Associate of POWERVISION, Inc. ("PV") upon and subject to the following terms and
  21. conditions:
  22.  
  23. 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
  24. PV subscriptions and to sponsor new PV Associates in accordance with and subject to all provisions of this Associate
  25. Application and Agreement.
  26.  
  27. 2. I have read and understood the front and back of this Application and Agreement.
  28.  
  29. 3. I agree to abide and be bound by all of the provisions of this Application and Agreement.
  30.  
  31. 4. PV has the right to amend this Application and Agreement.
  32.  
  33. 5. PV will not have any express or implied obligation or liability to any PV Associate except as specifically set forth in this
  34. Agreement.
  35.  
  36. _______________________________________________________________________________________________________________________________
  37. SIGNATURE OF APPLICANT                                                 DATE
  38.  
  39. _______________________________________________________________________________________________________________________________
  40. SIGNATURE OF CO-APPLICANT (if any)                                     DATE
  41.  
  42. Centracchio                 Bob          P           039-34-2026
  43. ______________________________________________________________________________________________________________________________
  44. SPONSOR LAST NAME           FIRST        MIDDLE      SOCIAL SECURITY NUMBER
  45.                                                                   
  46. P.O. BOX 19441                        Johnston                   OR
  47. _____________________________________________________________________________
  48. STREET ADDRESS                        CITY TOWN      FED. I.D.
  49.  
  50. RI           02919
  51. _____________________________
  52. STATE        ZIP CODE
  53.  
  54. Accepted for: POWERVISION, Inc.         
  55.              
  56.               11199 Sorrento Valley Rd., Suite L
  57.               
  58.               San Diego, CA 92121              Initial Supply Order
  59.                                   
  60. By:___________________________     Product Brochures        @ .54 ea.=_____
  61.                                    Subscription Agreements  @ .22 ea.=_____
  62. Date:_________________________    Multi-level Brochures    @ 18 ea = _____
  63.                                    Associate Apphcatlons    @ .26 ea.=_____
  64.                                    Disk Demo (3 Disks)      @7.00 ea.=_____
  65.                                    Tapes: video & audio     @7.95 ea.=_____
  66.                                    Buttons                  @ .32 ea.=_____
  67.                                    Starter Kit              @$49. ea.=
  68.                                    Shipping & Handling                  $3.00
  69.                                    Total (Calif. residents add 7% tax) _____      
  70.  
  71. Mail first two copies to POWERVISION, third copy to Sponsor and fourth to new Associate.
  72.  
  73.                                     
  74.  
  75.