Professional Documents
Culture Documents
1201 North 800 East Orem, UT 84097 Phone Application: 1-800-UNICITY (864-2489) Fax Application: 1-800-226-6232 If you apply by phone, you must send the original application to Unicity within 30 days or your application will be void.
Applicant Information
Name (Last, First, Middle Initial) or Business Name* Social Security Number (or Federal Tax ID Number**) M Co-Applicant/Spouse Name (Last, First, Middle Initial) (if applicable) Birth Date (MM/DD/YY) Gender F
Area Code
City
State
Zip Code
Area Code
Area Code
Sole Proprietorship
Partnership
Corporation
Husband/Wife Co-Applicants
Fax Number
*If applying under a business name, additional information is required. Please contact Customer Service at 1-800-864-2489.
Enroller Information
Associate ID Number
The Enroller is the Franchise Owner who is recruiting an individual to become a new Franchise Owner with Unicity. The Enroller may also be the Sponsor.
Enroller Name The Sponsor is the Franchise Owner who is the immediate upline of a Franchise Owner.
Area Code
Sponsor Information
Franchise Owner ID Number
Sponsor Name
Area Code
VISA
Discover
American Express
Credit Card
CVC
Auto-Refill preferred monthly ship date (1-20) ________ Quantity PV Unit Price Total PV Extended Price
By signing and submitting this form and payment of my Franchise License fee, I acknowledge that I am applying to become a Unicity Distributor, also referred to as a Franchise Owner. I consent to Unicity contacting me at the telephone numbers, fax number, and/or e-mail address listed on my application or as updated. I certify that I have read and agree to the Terms and Conditions on the reverse side of this form. I further certify that I have received, have read, understand, and agree to the Unicity Compensation Plan and the Unicity Policies & Procedures, which are incorporated herein and made part of this agreement.
Applicant Signature
Date (MM/DD/YY)
Co-Applicant/Spouse Signature
Date (MM/DD/YY)
Distributors and applicants may photocopy this form or download it from www.unicity.net.
US-0510
Item 20209
d. 70% Rule. When placing any product order, I certify I have sold or consumed a minimum of seventy percent (70%) of all previous orders (the 70% Rule). 6. This Distributor Agreement shall be valid for one (1) year from the date of acceptance and is subject to a required annual renewal. Unicity is not obligated to renew this Distributor Agreement. I acknowledge that this Distributor Agreement and the Distributorship created hereunder may be terminated by Unicity if the Distributor Agreement is not renewed for any reason. The Distributorship created hereunder is a licensed right that is revocable, and the position this Distributorship creates in the Unicity Distributor Organization and/or database is the property of Unicity. 7. If I wish to terminate this Distributor Agreement, I will deliver to Unicity written notication of my intent to terminate. My voluntary termination will be effective as of the date such notice is received and accepted by Unicity.
8. As a Distributor, I am an independent contractor. I am not an employee, partner, agent, joint venturer, or legal representative of Unicity. I agree that I am solely responsible for my