TeamRevv's Enrollment Form for Revvnrg

The Team Revvolution Quick‐Start Fast Application Name ‐ __________________________________ Billing Address ‐ __________________________ City ‐ _________________ Zip ‐ _____________ State ‐ __________ Country _____________ ◊ Check if shipping is same as Billing Mailing Address ‐ __________________________ City ‐ _________________ Zip ‐ _____________ State ‐ __________ Country _____________ CONTACT INFORMATION Cell ‐ ___________ D.O.B. ____________ Email ‐ __________________ PAYMENT INFORMATION C.C.# ______________________ EXP. _______ CVV ____ S.S.# ______________________ o What URL would you like for your replicated Website www.revvnrgy.com/_____ ____ s/No o Do you want your Pre‐Paid Debit Master Card for $9.95 Per Year Ye o RevvNRG Starter Pack - $219 Value - $159 + Tax and Shipping -This package includes 4 boxes of RevvNRG PLUS ONE FREE BOX and 60 brochures. It also includes personalized website, back office access, and our Dale Calvert DVD training ($49.95 value). Finally we will grandfather you at the EMERALD pay level for your first 8 weeks. This option also creates a 4 box a utoship to ship every 30 days. Cancel any time. o RevvNRG Builder Pack - $389 VALUE! - $299 + Tax and Shipping -This package includes 8 boxes of RevvNRG PLUS TWO FREE BOXES and 120 brochures. It also includes personalized website, back office access & our Dale Calvert DVD training ($49.95 value). Finally we will grandfather you at the PEARL pay level for your first 8 weeks. This option also creates a 4 box autoship to ship every 30 days. Cancel any time. o RevvNRG Mega Business Builder - $779 VALUE! - $499 + Tax and Shipping -This package includes 16 boxes of RevvNRG PLUS SIX FREE BOXES and 180 brochures. It also includes 3 websites, back office access, and our Dale Calvert DVD training ($49.95 value). Finally we will grandfather you at the SILVER PEARL pay level for your first 8 weeks. This option also creates a 4 box autoship to ship every 30 days. Cancel any time. o RevvNRG Mega Grandfather - $1,599 VALUE! - $1,199 + Tax and Shipping s -This package includes 45 boxes of RevvNRG, PLUS 180 Brochure and 2 - 16oz Lo go Water Bottles FREE! Includes personalized websites, back office access, DVD training ($59.95 value) PLUS we grandfather you at the ROYAL BLACK PEARL pay level for your first 4 months. This option also creates a 4 box autoship to ship every 30 days that you must keep in effect. Copyright Team Revvolution LLC 2010 All Rights reserved

Documents

TeamRevv's Enrollment Form for Revvnrg