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!

Vitality

  • 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!