ASSOCIATE INFORMATION

Federal ID# or SS#: (Official Tax Number)__________________________

Company Name  ________________________________

Resale Tax # ________________

NAME  Last: ____________________________ First: _____________________Initial: ____

Mailing Address: _____________________________________

City/State: _____________________________ Zip: __________

Shipping Address: _____________________________________

City/State: _____________________________ Zip: __________

Telephone (home): (___)________________   Telephone (work): (___)__________________

Email Address: ________________________________________

Website Url: _____________________________________

Sponsor Name: Healthy Pet Corner/Sunshine Life Center Inc.

Sponsor ID# JNR3

Associate ID# Assigned: ____________________

APPLICANT AGREEMENT

My signature below indicates that I am of legal age and I have read, accept, and agree to all the Terms and Conditions regarding Privileges as outlined in this Agreement.

1. I state and affirm that I am acting as a free agent and in dependent contractor, holding myself out to the General Public as an independent contractor for other work or contracts as I see fit. I am not an employee of FLINT RIVER RANCH, or any subsidiaries, and will operate as an independent contractor fully responsible for my own expenses; FLINT RIVER RANCH will not be held responsible for any claims on behalf of FLINT RIVER RANCH other than those set forth in FLINT RIVER RANCH literature.

2. I realize that I must abide by all Federal, State, and Local laws pertaining to self-employment and the marketing of company products, including any taxes due and payable to any of the above. Flint River Ranch will be responsible for the collection and remittance of all applicable sales and use tax on the retail price of the product. Resale certificates will be accepted for companies with established retail locations who collect and report their own taxes.

3. I understand that there is no expense to initiate an Associate Agreement. I will effectuate and promote the sale of FLINT RIVER RANCH products on a continuing basis.

4. I understand this Agreement can be terminated at any time upon mailing written notice to FLINT RIVER RANCH. This Agreement shall automatically end on the 1st day of July each year, unless renewed by Associate and FLINT RIVER RANCH in accordance with the then existing Marketing Plan and Policies and Procedures made part of this Agreement by reference .

5. The FLINT RIVER RANCH Policy and Procedures provide for transfer and assignment of this Agreement. The situs of this Agreement is Georgia.

Date:_____________________________




_________________________________________
Signature of Applicant

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