Herbalife Distributorship Application

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NOTE: If you are residing in U.S.A. please use this form instead.
APPLICANT INFORMATION
Last/Family Name:		First Name:
Postal Address:
City:		Country:
Day Phone:	Mobile Phone:		Fax:
Date of Birth:		Applicant's NRIC/FIN/Passport No. *
E-mail Address:		* a photocopy of NRIC or Passport is required. Name and address must match the information stated within.
Spouse Last/Family Name: (if co-applicant)		Spouse First Name:
Do you want to receive information from Herbalife via E-mail/SMS? Yes No

LEGAL/FISCAL RESIDENCE ADDRESS (IF DIFFERENT FROM ABOVE)
Address: (must match the NRIC/Passport)
City:		Country: (U.S. residents please use this form instead.)

AGREEMENT OF DISTRIBUTORSHIP
Upon acceptance of this application by HERBALIFE International Singapore Pte. Ltd., and prior thereto while the undersigned applicant for a Distributorship (hereinafter called Distributor) is selling Herbalife products, Distributor agrees: 1) Distributor will operate his/her own business, will buy Herbalife products for cash, will promote their sales and will abide by all of Herbalife's rules, regulations, policies and procedures as amended from time to time, including those set forth in the Herbalife International Business Opportunity Manual (hereinafter called the Herbalife Career Book) which are hereby incorporated by reference. 2) Distributor is an independent contractor (for all purposes, including tax and otherwise), and is not an employee, legal representative or agent of Herbalife or of any other Herbalife Distributor. 3) Herbalife, insofar as it is reasonably possible, will sell for cash to Distributor, Herbalife products in whatever quantity Distributor may require. 4) For a period of three (3) years after termination of this Agreement Distributor will hold in confidence any trade secrets, formulas, sales and distribution systems, business information, and literature which Distributor acquired during the term of this Agreement and will not use directly or indirectly such items. For such period Distributor also agrees not to enter or participate in a competing business or business activity. 5) Distributor will operate his/her business at all times in such manner as to enhance the reputation of Herbalife and its trade name. 6) (a) Herbalife may in its absolute discretion immediately suspend and/or terminate this Agreement by notice in writing to the Distributor in the event that Herbalife has reasonable grounds for believing that the Distributor has breached any provision of this Agreement or the rules as set forth in the Herbalife Career Book. (b) Herbalife may in its absolute discretion and for any reason whatsoever suspend and./or terminate this Agreement on fourteen (14) days written notice to the Distributor which it is agreed shall be sufficient notice. 7) This Distributorship may not be assigned without the written consent of Herbalife, which consent can be withheld by Herbalife in its absolute discretion. 8) Distributor understands that the signing of this Agreement and his or her purchase of an International Business Pack (IBP), are all that are needed to become a Distributor, and he or she hereby acknowledges receipt of this IBP. Applicant has the right to terminate this Agreement at any time by submitting a signed letter of resignation to Herbalife. The termination of the Agreement will be effective once the letter has been received and accepted by Herbalife. 9) After the date of termination of the Distributorship, the Distributor and spouse (as defined in the Herbalife Career Book) must observe the minimum twelve (12) month period of inactivity as a Distributor before re-applying for or participating in another Herbalife Distributorship. 10) Herbalife shall not be liable for any incidental or consequential damages caused by its breach, cancellation or suspension of this Agreement, whether or not the possibility for such damages is known to Herbalife. 11) This Agreement is binding upon and inures to the benefits of the parties, their heirs and successors in interest. If any provision of this Agreement is found to be unenforceable or invalid, the validity of the remaining provisions shall not affected. 12) Distributor acknowledges and agrees that unless he/she notifies Herbalife to the contrary, Herbalife may assume that the Distributor elects to have Herbalife provide services to maintain Distributorship records, discount rates, lineage records, qualification status and calculate commissions fee in advance for such service. Distributor also acknowledges and agrees that upon the Distributor 's default in effecting the timely payment of the annual processing fee, Herbalife will be entitled to terminate the Distributorship, cease the provision of such services and purge the Distributor 's records from Herbalife system. 13) This Agreement is governed by and construed in accordance with the laws of the Republic of Singapore. The parties hereby submit to the exclusive jurisdiction of the courts of the Republic of Singapore. 14) (a) The information the Distributor provides will be used for Herbalife administrative , marketing, publication, communications, policy making, and be disclosed to any governmental department or authorities in Singapore or overseas, or to any of the agents, contractors and selected third parties who provide services to Herbalife of its related or affiliated companies. Every effort will be made to ensure that information circulated is of relevance tot he Distributor 's business needs. (b) The Distributor warrants and undertakes that all information he/she provides from time to time is provided lawfully and is not provided subject to or in breach of, any confidentiality or other similar obligations which may limit the use and disclosure of such information in accordance with this clause.
YOUR PERSONAL WELLNESS GOALS/COMMENTS

I confirm that my spouse and I do not currently have an active Herbalife distributorship.