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Wor(l)d Account Registration

1. 2. 3.
Username (Please include 3 options) Tax ID / Company ID / SSN

Name (First Name, Last Name) Date of Birth (mm/dd/yyyy)

Shipping Address Contact / Mobile Phone

City State Zip Code Email

Order + Loyalty Membership

Select one of the following (Shipping & Taxes not included in price):

Premium Pack: US $1,999 Family Pack: US $1,349 Box Set: US $349

6 HELO LX 4 HELO LX 1 HELO LX
6 Germanium Plate Sets 4 Germanium Plate Sets 1 Germanium Plate Set
6 Bands Packs 4 Bands Packs 1 Bands Pack
6 BioZen FREE 4 BioZen FREE 1 Business Center
3 Business Centers 3 Business Centers $200,000 weekly max
$600,000 weekly max $600,000 weekly max

Go ALL-IN with BioZen: BioZen30: US $1,350 BioZen10: US $450

30 BioZen 8 FREE BioZen - 10 + 2 FREE
38 Total
Membership:
Loyalty Membership : $59 Monthly
- EARN COMMISSIONS - EARN 75 LOYALTY POINTS - HELO App Pro x 5 - 30SV Monthly =
- Keep ALL Sales Volume - FREE HELO (Via Loyalty Points) - Protection Plan - $6 Monthly Residual
- 1% Loyalty Box - FREE INFOLIO (Via Loyalty Points) - Cloud Storage (512G) - Online Webinar

Payment Information
Payment type: VISA Mastercard AMEX JCB
I hereby authorize World Global Network to receive payment via my credit card
for the cost of my initial order as well as any and all of my future orders. World
Global Network is authorized to withdraw payment equal only to the amount of
the products that is ordered, plus applicable taxes and shipping/handling.
Cardholder name Expires (mm/yyyy) By signing below, I agree that I have read and understand the above membership
form. All prices may vary and subject to change. Additional Terms and Conditions
for membership and orders can be found at www.worldgn.com
Card Number Security Code

Billing Address Applicants signature Date

City State / Province Postal Code

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Cardholder signature: www.worldgn.com