MENTORING OUR CHILDREN

HELPING INDIVIDUALS AND PARENTS BECOME EFFECTIVE LEADERS

HELPING INDIVIDUALS AND FAMILIES BECOME DEBT FREE

HELPING INDIVIDUALS AND FAMILIES DEVELOP INCOME

 

 
FIRST NAME LAST NAME     MI PHONE#
ADDRESS  (NO P.O. Boxes Please)        
 
E-MAIL ADDRESS SS# . EIN# REQUIRED

PLEASE CHECK THE APPROPRIATE BOX BELOW

INDIVIDUAL PARTNERSHIP CORPORATION OTHER
SPONSOR'S NAME 
SPONSOR'S NETWINNING ID# OR SS# 
WWW.NETWINNING.NET/ E-MAIL @NETWINNING.NET
  (Please select a personal webmail/email address, ONLY if purchasing the Business Services Package)
          MARKETING REPRESENTATIVE
                    $99 ENROLLMENT
         SALES REPRESENTATIVE
                 $75 REFUNDABLE DEPOSIT*
          TRAINING DIRECTOR
                    $99 ENROLLMENT
                          
 

       BUSINESS SERVICES PACKAGE
                NO ENROLLMENT FEE/$29 MO. ACH

                INITIAL $5 PROCESSING FEE
($29 Automatic bank withdrawal on 15th of the month)

Commissions Paid By:        
          Direct Deposit
Bank Name
City, State
Bank Routing Number
Bank Account Number
Checking Account    Savings Account
 
            Payroll/Debit Card
                    (MasterCard)


Commissions are paid by either direct deposit or payroll/debit card. Please choose one of the two.  If you choose direct deposit, enter bank information to the left.
*Deposit not applicable in the states of Alabama, Georgia, Kentucky, Louisiana, Minnesota, Nebraska, Pennsylvania, South Dakota, and West Virginia.

I AGREE TO NETWINNING'S POLICY AND PROCEDURE

By selecting agree to this Representative Agreement, I certify that the above information is correct to the best of my knowledge.

WELCOME TO A NEW BEGINNING!

Method of Payment: MasterCard/Visa     Check