PLEASE TYPE OR PRINT CLEARLY IN CAPITALS
United Kingdom - Independent Representative Agreement
ACN VAT Number: GB 726 3625 33
1A. Applicant (Individual):
Last name:
❍ Mr. ❍ Mrs. ❍ Miss.
Middle initials: First name:
Date of birth:
(DD/MM/YY)
��������
Mobile phone:
Telephone phone:
Address:
Post code:
�����
Email address:
1B. Applicant (Business):
Company name:
(Please provide a copy of VAT and/or business registration if applicable)
❍ Mr. ❍ Mrs. ❍ Miss
Company Number:
Contact:
Town:
VAT Number (if applicable):
Telephone number:
Mobile phone:
Address:
Post code:
�����
Email address:
2. Sponsor
Last name:
First name:
ASKARI SYED ���������� 8870224626
ACN TEAM ID NUMBER
Telephone number:
ACN European Services Limited ("ACN") is the promoter of this trading scheme in the United Kingdom. The products and services which are supplied under this scheme are telecommunications products and services and related products and services supplied by ACN and other products and services as ACN may market from time to time. Sales of these products and services are made by ACN Independent Representatives who participate in the scheme as ordertakers. The only financial obligation of the Independent Representative (“IR”) during the period of 12 months from the commencement date of the Agreement is to purchase a team trainer kit and, if the IR elects to renew the Agreement, the payment of the annual renewal fee. The IR has no further annual financial obligation and in particular has a free choice whether or not to purchase any products or services under this trading scheme. Upon receipt of proper payment by ACN, the IR shall be designated as an Independent Representative. The IR shall participate in the scheme upon the terms of this Agreement at any levels of the scheme which the IR may achieve.
3A.