This document is a membership registration form for WCM777. It collects information such as the applicant's name, contact details, sponsor details, payment method and amount, and requires the applicant's signature to agree to the company's policies. The form gathers new member information including name, username, contact information, ID, email, address, distributor type as either an individual or company, and any notes.

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: