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WCM777
MEMBERSHIP REGISTRATION FORM
(Please Print)
SPONSOR INFORMATION (SPONSOR FILLS THIS AREA)
Today’s date: Sponsor Name: Sponsor User Name:
Placement User Name: Placement: Left  Right  Auto
NEW MEMBER INFORMATION
Member’s Name: Member’s User Name:
Home Phone No.:
( )
Mobile Phone No.: Birth Date: Age: Sex:
( ) / /  M  F
Mailing Address: ID Number: Email:
P.O. Box: City: State: ZIP Code:
Billing Address (if different from Mailing): City: State: ZIP Code:
Distributor Type:
 Individual  Company (Corporation, LLC, etc.):
Notes:
The above information is true to the best of my knowledge. I have fully understood and agree with the
corporate policy, marketing plan, and the privacy policy of WCM777.
Applicant Signature: ________________________________________ Date: _________________
PAYMENT METHOD
(Please give a clean copy of Deposit / Wire Transfer receipt to your Sponsor for Registration.)
Method of Payment:  Cash  Bank Branch Deposit  Wire Transfer  Cashier’s Check
Payment Amount: Number of Units:

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Wcm777 registration form

  • 1. WCM777 MEMBERSHIP REGISTRATION FORM (Please Print) SPONSOR INFORMATION (SPONSOR FILLS THIS AREA) Today’s date: Sponsor Name: Sponsor User Name: Placement User Name: Placement: Left  Right  Auto NEW MEMBER INFORMATION Member’s Name: Member’s User Name: Home Phone No.: ( ) Mobile Phone No.: Birth Date: Age: Sex: ( ) / /  M  F Mailing Address: ID Number: Email: P.O. Box: City: State: ZIP Code: Billing Address (if different from Mailing): City: State: ZIP Code: Distributor Type:  Individual  Company (Corporation, LLC, etc.): Notes: The above information is true to the best of my knowledge. I have fully understood and agree with the corporate policy, marketing plan, and the privacy policy of WCM777. Applicant Signature: ________________________________________ Date: _________________ PAYMENT METHOD (Please give a clean copy of Deposit / Wire Transfer receipt to your Sponsor for Registration.) Method of Payment:  Cash  Bank Branch Deposit  Wire Transfer  Cashier’s Check Payment Amount: Number of Units: