Step Forward Networks is an independent distributor of Zija Core Nutritionals, Ripstix Fitness Supplements and Ameo Essential Oils. For more information on products, discounts and income opportunities visit our websites at http://stepforward.myzija.com or http://stepforward.myameo.com

1. PRODUCT ORDER FORM
(UNITED STATES/CANADA/PUERTO RICO)
1 - 30 Pack Fuel
1 - 30 Pack Ignite
1 - 30 Pack Recover
1 - Ripstix Trimr Bottle
+ FREE Enrollment
1 - 60 Pack Hydrate
1 - 30 Pack Fuel
2 - 30 Pack Ignite
2 - 30 Pack Recover
1 - Ripstix Trimr Bottle
+ FREE Enrollment
2 - 60 Pack Hydrate
2 - 30 Pack Fuel
4 - 30 Pack Ignite
4 - 30 Pack Recover
1 - Ripstix Trimr Bottle
+ FREE Enrollment
2 - 60 Pack Hydrate
2 - 30 Pack Fuel
4 - 30 Pack Ignite
4 - 30 Pack Recover
1 - Ripstix Trimr Bottle
+ FREE Enrollment
+ FREE Ripstix Founder Duffel Bag
Basic Training Kit
MVP Starter Kit
Pro Builder Kit
Ripstix Founder Kit*
$220
$330
$660
$660
150PV
250PV
500PV
500PV
HARDER
BETTER
FASTER
STRONGER
*Ripstix Founder Kit is available for a limited time only. For complete rules and details
about how to become a Ripstix Founder, refer to the full Ripstix Founder document.

2. Product Selection:
p Basic Training Kit ($220 USD/150 PV)
p MVP Starter Kit ($330 USD/250 PV)
p Pro Builder Kit ($660 USD/500 PV)
p Ripstix Founder Kit ($660 USD/500 PV)
QTY AUTOSHIP PRODUCT DESCRIPTION (Please write below) PRICE*
To place an order: 1.801.494.2323
ENROLLMENT APPLICATION
6 INITIAL ORDER
TOTAL
AutoShip is a program of convenience that automatically charges and ships the products of your choice approximately every 4 weeks after the initial order. *Prices shown DO NOT include shipping and handling.
Customer Initials
2 SPONSOR INFORMATION
SPONSOR’S NAME PHONE NUMBER SPONSOR’S ID NUMBER
4 ENROLLMENT FEE / PAYMENT
3 PLACEMENT INFORMATION (optional)
PLACEMENT NAME PLACEMENT ID NUMBER CIRCLE CHOICE (REQUIRED)
LEFT RIGHT
Based on the information provided in this section, you will be placed in the first available Left or Right position of the Placement Name and ID Number provided below. If no Placement Name or ID Number is provided in this section, you will be placed in the first available position on the Left or Right side of your Sponsor (listed above).
8 TERMS AND CONDITIONS
Applicant/Authorized Party’s Signature and Title_____________________________________________ Date __________
By signing below, I understand and have read and agree to abide by the Zija Policies & Procedures/Terms and Conditions, and that this enrollment form is abbreviated and not intended as a substitute for full disclosure of the Zija Policies & Procedures/Terms and Conditions. I understand that a complete disclosure of such documentation is available upon my request. I authorize my enrolling Sponsor to process this initial order with the information I have supplied herewith. In addition, I authorize Zija to process my order and to charge my credit card referenced above.
5 PAYMENT
(check one) p Visa p Mastercard p AMEX p Discover
CREDIT CARD NUMBER EXPIRATION DATE
NAME AS SHOWN ON CARD SIGNATURE OF CARDHOLDER
BILLING ADDRESS CITY STATE/PROVINCE POSTAL CODE
1 NEW ENROLLEE INFORMATION (required)
p Individual/Sole Proprietor p Joint Applicants p Partnership p Corporation
LAST NAME
POSTAL CODE
POSTAL CODE
DATE OF BIRTH (MM/DD/YY)
FIRST NAME
MIDDLE INITIAL
BUSINESS NAME (IF DIFFERENT FROM APPLICANT’S NAME)
MAILING ADDRESS
SHIPPING ADDRESS (IF DIFFERENT FROM MAILING)
PHONE NUMBER
E-MAIL ADDRESS
( )
( )
( )
OTHER PHONE / FAX
CITY
CITY
STATE/PROVINCE
STATE/PROVINCE
I understand that the $39 Enrollment Fee to become a Ripstix Distributor is waived with the purchase of any Ripstix System, which includes a Ripstix Business Kit containing sales and demonstration materials as well as company information created by Zija. I understand a yearly renewal fee of $25 is required to continue as a Distributor. I authorize Zija to charge the $25 annual renewal fee to my credit card as it becomes due. I understand a renewal fee is applicable annually, starting thirty (30) days prior to my enrollment anniversary date to maintain my Distributor status.
©2014 Zija International, Inc. All Rights Reserved. (09.14)
7 AUTOSHIP ORDER