This document is a registration form for a ViSalus event taking place from July 16-18, 2010 in Orlando, Florida. It provides information on event location, pricing, and policies. Attendees can register by filling out their name, distributor ID, contact details, and credit card information. Rooms at the host hotel Wyndham Orlando Resort start at $89 per night when booked through the provided number and mentioning "VISALUS".

1. REGISTER
TODAY
Name _____________________________________________
Distibutor ID # ______________________________________
Second Name (Couple Registration)
___________________________________________________
ORLANDO, FLORIDA • JULY 16–18, 2010 Distibutor ID # ______________________________________
Celebrate Life, Health and Prosperity
Phone _____________________________________________
with the ViSalus Community
E-Mail _____________________________________________
Meet the Founders and Management Team
behind ViSalus and the Body by Vi™ Challenge Name on card ______________________________________
Learn how to earn money promoting the Billing Address ______________________________________
Challenge from top Ambassadors ___________________________________________________
Find out why ViSalus and the Body by Vi™ City _______________________________________________
Challenge are transforming lives every day State _________ Zip ____________
Card Number _______________________________________________
EVENT LOCATION ::
Wyndham Orlando Resort ROOMS STARTING AT $89/NIGHT! Exp. _______ /______ 3(or 4) digit security code __________
8001 International Drive Call 1-800-421-8001 and mention
Orlando, FL 32819 “VISALUS” to book TODAY. Signature __________________________________________
EVENT PRICING :: (Check One) Date ______________
Kids aged 12-17 may attend for free
PRE-REGISTRATION :: AT THE DOOR :: Fax order form to:
(Ends June 30, 2010) New reps (first 30 days)may receive pre-reg price
248.524.9523 or
▢ $119 SINGLE ▢ $179 SINGLE
Call 248.524.9520
▢ $179 COUPLE ▢ $229 COUPLE
ViSalus Event Policy: We believe that every ViSalus event is put together to provide each ViSalus Representative with the most empowering
information and inspiration available in our industry today. Get ready for an empowering journey... Please note that all ViSalus event registrations
are non-refundable and non-transferable. This event will be videotaped. By attending, you grant ViSalus the right to use your voice and/or likeness
and photographs in advertising and promotional materials.
CUSTOMER RECEIPT: Thank
TOTAL: DATE: You!